Stroke and stroke risk factors in women of reproductive age with a history of metabolic or bariatric surgery |
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| Affiliation: | 1. Souers Stroke Institute, Department of Neurology, Saint Louis University School of Medicine, SLUCare Academic Pavilion, 1008 S. Spring Ave, Suite 3700, Saint Louis, MO 63110, United States.;2. College for Public Health and Social Justice, Saint Louis University, United States;3. Department of Medical Family Therapy, Saint Louis University School of Medicine, United States;1. Souers Stroke Institute, Department of Neurology, Saint Louis University School of Medicine, SLUCare Academic Pavilion, 1008 S. Spring Ave, Suite 3700, Saint Louis, MO 63110, United States.;2. College for Public Health and Social Justice, Saint Louis University, United States;3. Department of Medical Family Therapy, Saint Louis University School of Medicine, United States;1. Warren Alpert Medical School of Brown University, Providence, RI, USA;2. Division of Neurology, Mount Auburn Hospital, Cambridge, MA, USA;3. Department of Neurology, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA;4. Department of Neurosurgery, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA;5. Section of Medical Education, Warren Alpert Medical School of Brown University, Providence, RI, USA;1. Department of Cardiology, Papageorgiou Hospital, Thessaloniki, Greece;2. 3rd University Department of Cardiology, “Sotiria” General Hospital for Chest Diseases, Athens 11527, Greece;3. Department of Neurology, Papageorgiou Hospital, Thessaloniki, Greece;1. Department of Neurology, The First People''s Hospital of Jingmen, No.168 Xiangshan Avenue, Duodao District, Jingmen, Hubei 448000, China;2. Department of Stomatology, Jingmen Rehabilitation Hospital, China;1. Additional Professor, Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute For Medical Sciences And Technology, Trivandrum, Kerala, India;2. Radiographer, Department of Imaging Sciences and interventional Radiology, Sree Chitra Tirunal Institute For Medical Sciences And Technology, Trivandrum, Kerala, India;3. Senior Project Assistant, Department of Imaging Sciences and interventional Radiology, Sree Chitra Tirunal Institute For Medical Sciences And Technology, Trivandrum, Kerala, India;4. Additional Professor, Neurointervention Center, Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute For Medical Sciences And Technology, Trivandrum, Kerala, India7;5. Professor and Head, Department of Neurology, Sree Chitra Tirunal Institute For Medical Sciences And Technology, Trivandrum, Kerala, India;1. Department of Comprehensive Strokology, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi 470-1101, Japan;2. Innovative and Clinical Research Promotion Center, Gifu University Hospital, Gifu, Japan;3. Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan;4. Department of Neurosurgery, Kokura Memorial Hospital, Fukuoka, Japan;5. Department of Neurosurgery, Fujita Health University School of Medicine, Aichi, Japan;1. Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, 170, Jomaru-ro, Bucheon, Gyeonggi-Do 14584, Republic of Korea;2. Department of Neurosurgery, College of Medicine, St. Vincent''s Hospital, The Catholic University of Korea, Seoul, Republic of Korea;3. Department of Neurosurgery, Hangang Sacred Heart Hospital, Hallym University, Seoul, Republic of Korea |
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| Abstract: | ![]()
ObjectiveTo determine the odds of stroke in women of reproductive age who have had metabolic or bariatric surgery (MBS).MethodsWe used the National Inpatient Sample (NIS), a publicly available dataset that samples 20% of hospital discharges. The study population includes women between the ages of 20 and 44 without a maternal admission code. Weighted logistic regression analyses were conducted to assess the odds of stroke in women with history of MBS compared to other women of reproductive age. Adjustment of odds was done for the following covariates: age, race, primary payer, severity of illness, depression, and obesity.ResultsWomen with a history of MBS had 52% lower adjusted odds of having a stroke than women who did not have MBS (OR = 0.48, 95%CI = 0.42-0.55). Additionally, women who had MBS had lower odds of risk factors for stroke, including diabetes (OR = 0.61, 95%CI = 0.59-0.63), hypertension (OR = 0.82, 95%CI = 0.81-0.84), hypercholesterolemia (OR=0.72, 95%CI =0.68-0.77), and migraine with aura (OR = 0.86, 95%CI = 0.74-0.99).ConclusionsAmong women of reproductive age with a history of MBS, there were lower odds of having a stroke and stroke risk factors when compared to women who did not have MBS. Additionally, this study showed a modest decrease in the odds of stroke among women with obesity when adjusted for other risk factors. Future research should focus on examining this finding further, with a focus on the moderation of the impact of having obesity on stroke risk independent of other stroke risk factors. |
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