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Post-traumatic stress disorder was associated with a threefold increased risk for stroke in a Taiwanese National Health Insurance Database
  1. Judith Zahava Goldfinger
  1. Correspondence to Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA; judith.goldfinger{at}mountsinai.org

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ABSTRACT FROM: Chen MH, Pan TL, Li CT, et al. Risk of stroke among patients with post-traumatic stress disorder: nationwide longitudinal study. Br J Psychiatry 2015;206:302–7.

What is already known on this topic

People with post-traumatic stress disorder (PTSD) are more likely to have psychiatric comorbidities and cardiovascular risk factors, including diabetes mellitus, hypertension, smoking and dyslipidemia.1 ,2 While stroke can trigger PTSD,3 prior to this study it was not known whether PTSD increases the risk for stroke.

Methods of the study

This was a longitudinal follow-up study to assess for development of stroke (International Classification of Diseases, ninth edition (ICD-9) codes 430–438). The data for this study was obtained from National Health Insurance Research Database (NHIRD), which includes healthcare data from >97% of Taiwan's population (>23 million people).4 Comprehensive information on insured individuals is included in the database, including demographic data, dates of …

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