Long-term improvement in outcome after intracerebral hemorrhage in patients treated with statins.

Published

Journal Article

BACKGROUND: Intracerebral hemorrhage (ICH) is a severe type of stroke for which there is currently no specific medical therapy. We hypothesized that statins reduce immediate inflammatory injury and improve long-term recovery from increased neurogenesis and angiogenesis. We conducted a large retrospective cohort study to assess the influence of statin therapy on patient death and disability at 12 months after ICH. METHODS: This was a retrospective analysis of a prospectively collected database at a tertiary care medical center. Patients were grouped based on statin use, and poor outcome was assessed as dead or alive with dependency (modified Barthel Index≤14). RESULTS: We compared outcomes in 190 patients exposed to statins to 236 patients who were not exposed to statins. Univariate analysis found that statin use was associated with decreased mortality in-hospital and at 12 months (P=.001). Multivariable analysis found that statin use was associated with a decreased odds of death or disability at 12 months after ICH (odds ratio 0.44; 95% confidence interval 0.21-0.95). CONCLUSIONS: Statin use is associated with improved long-term outcome at 12 months after ICH. This finding supports previous clinical studies that have shown the short-term benefits of statin therapy. In addition, this study correlates with animal studies supporting the possible long-term recovery benefits of statins.

Full Text

Duke Authors

Cited Authors

  • Winkler, J; Shoup, JP; Czap, A; Staff, I; Fortunato, G; McCullough, LD; Sansing, LH

Published Date

  • November 2013

Published In

Volume / Issue

  • 22 / 8

Start / End Page

  • e541 - e545

PubMed ID

  • 23867041

Pubmed Central ID

  • 23867041

Electronic International Standard Serial Number (EISSN)

  • 1532-8511

International Standard Serial Number (ISSN)

  • 1052-3057

Digital Object Identifier (DOI)

  • 10.1016/j.jstrokecerebrovasdis.2013.06.015

Language

  • eng