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重度抑郁症对中风风险和死亡率的影响:一项系统综述。

Effect of Major Depressive Disorder on Stroke Risk and Mortality: A Systematic Review.

作者信息

Khan Aujala Irfan, Abuzainah Baraa, Gutlapalli Sai Dheeraj, Chaudhuri Dipabali, Khan Kokab Irfan, Al Shouli Roba, Allakky Akhil, Ferguson Asila A, Hamid Pousette

机构信息

Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

General Practice, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

出版信息

Cureus. 2023 Jun 15;15(6):e40475. doi: 10.7759/cureus.40475. eCollection 2023 Jun.

Abstract

This study aimed to systematically review the available data on major depressive disorder (MDD) and provide insight into how it may affect stroke risk and mortality. We conducted this systematic review drawing upon research published between July 2002 and July 2022 from the following databases: PubMed, ScienceDirect, and Google Scholar. After eliminating duplicates, screening the title and abstract, determining eligibility, and quality assessment, eight articles were left for utilization in this systematic review (one meta-analysis and seven non-randomized studies). There was a potentially significant association between MDD and stroke risk and mortality. The apparent connection between MDD and stroke has medical and public health relevance, given the high incidence, prevalence, and financial burden of MDD and stroke in the general populace. Therefore, it is imperative that further studies are conducted to confirm and validate this association between MDD and stroke while also elucidating the mechanism involved, investigating potential variables influencing this association, and contrasting MDD with conventional stroke risk factors to determine its predictive usefulness in comparison to traditional risk factors. This will have a significant effect on clinical practice since the information provided by such research will help guide essential targets for stroke prevention.

摘要

本研究旨在系统回顾关于重度抑郁症(MDD)的现有数据,并深入了解其如何影响中风风险和死亡率。我们利用2002年7月至2022年7月期间发表于以下数据库的研究进行了这项系统回顾:PubMed、ScienceDirect和谷歌学术。在剔除重复项、筛选标题和摘要、确定纳入标准以及质量评估后,留下八篇文章用于本系统回顾(一篇荟萃分析和七篇非随机研究)。MDD与中风风险及死亡率之间存在潜在的显著关联。鉴于MDD和中风在普通人群中的高发病率、患病率及经济负担,MDD与中风之间明显的联系具有医学和公共卫生意义。因此,必须开展进一步研究以确认和验证MDD与中风之间的这种关联,同时阐明其中涉及的机制,调查影响这种关联的潜在变量,并将MDD与传统中风风险因素进行对比,以确定其与传统风险因素相比的预测效用。这将对临床实践产生重大影响,因为此类研究提供的信息将有助于指导中风预防的关键目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53d5/10349659/f4725a12f563/cureus-0015-00000040475-i01.jpg

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