Psoriasis Carries an Increased Risk of Venous Thromboembolism A Danish Nationwide Cohort Study 英文参考文献.docVIP
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Psoriasis Carries an Increased Risk of Venous Thromboembolism A Danish Nationwide Cohort Study 英文参考文献
PsoriasisCarriesanIncreasedRiskofVenous
Thromboembolism:ADanishNationwideCohortStudy
OleAhlehoff1*,GunnarHilmarGislason1,JesperLindhardsen1,MetteGitzCharlot1,CasperHaslund
J?rgensen1,JonasBjerringOlesen1,Ditte-MarieBretler1,LoneSkov2,3,ChristianTorp-Pedersen1,3 ,Peter
RiisHansen1
1Department of Cardiology, Copenhagen University Hospital Gentofte, Hellerup, Denmark, 2Department of Dermatology, Copenhagen University Hospital Gentofte,
Hellerup,Denmark,3FacultyofHealthSciences,UniversityofCopenhagen,Copenhagen,Denmark
Abstract
Background: Psoriasis is an immunoinflammatory disease associated with cardiovascular risk factors, atherothrombotic
events,andhypercoagulability.Venousthromboembolism(VTE)ispotentiallylethalandsharesriskfactorswithpsoriasis,
buttheriskofVTEassociatedwithpsoriasisisunknown.Thepresentstudyinvestigatedthepotentialassociationbetween
psoriasisandVTE.
MethodsandFindings:Informationfromnationwideprospectivelyrecordedregistersofhospitalization,drugdispensing
frompharmacies,socio-economicdata,andcausesofdeathwaslinkedonanindividuallevel.Inanunselectednationwide
cohort,weusedmultivariatePoissonregressionmodelscontrollingforage,gender,comorbidity,concomitantmedication,
socio-economicdata,andcalendaryear,toassesstheriskofVTEassociatedwithpsoriasis.Atotalof35,138patientswith
mildand3,526patientswithseverepsoriasiswereidentifiedandcomparedwith4,126,075controls.Patientswithpsoriasis
hadhigherincidenceratesper1000person-yearsofVTEthancontrols(1.29,1.92,and3.20forcontrols,mildpsoriasis,and
severe psoriasis, respectively). The rate ratio (RR) of VTE was elevated in all patients with psoriasis with RR 1.35 (95%
confidenceinterval[CI]1.21–1.49)andRR2.06(CI1.63–2.61)formildandseverepsoriasis,respectively.Exclusionofpatients
withmalignancies,andcensoringofpatientsundergoingsurgerydidnotaltertheresults.
Conclusion:ThisnationwidecohortstudyindicatesthatpatientswithpsoriasisareatincreasedriskofVTE.Theriskwas
highestinyoungpatientswithseverepsoriasis.Physiciansshouldbe
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