Weekend and Holiday Increase in the Onset of Ischemic Stroke in Young Women

Haapaniemi, Helena; Hillbom, Matti; Juvela, Seppo

doi:10.1161/01.str.27.6.1023

Cited by 53 publications

(53 citation statements)

References 25 publications

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“…In the gender, and other studies found the lowest incidence for women in August, and for men in June (15). Other studies showed the highest incidence in January for all stroke types (15), and in Septembar (16). The highest incidence of ICH is found in February but the lowest in August (5), and we found that May is month with the most ICH, and July and October with the least ICH occurences.…”

Section: Discussionsupporting

confidence: 65%

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Temporal Variations of Stroke Occurence

Simovic

Aleksić

Matic

et al. 2017

Serbian Journal of Experimental and Clinical Research

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Stroke is one of leading causes of death worldwide. Different frequency of stroke occurence is observed in days of the week and months in the year, and incidence of stroke has irregular time pattern. We analyzed 516 patients who had acute stroke and were treated in Clinic of Neurology, Clinical Center Kragujevac from January 1, 2013 to January 1, 2014, mean age 72,11±11,52. Statistical analysis is conducted out using the SPSS software version 20.0. We used descriptive statistic, student T-test, chi-square or Fisher exact test.Friday is day we found the most IS and all stroke types occurences, and Wednesday is day we found the most IS in men. We found the most strokes in women younger than 65 years on Wednesday, but in women older than 65 years on Friday. Monday is day with the most admissions to hospital for patients with IS, and we observed that there is average delay in the refering to the doctor for 1.80±1.44 days. Friday is the day with the most ICH symptom beginings and the most admissions to the hospital, and Saturday is the day with the least symptom beginings and admissions to the hospital in the case of IS and ICH. The most IS occured in winter (in Decembar), and the least in summer (in August). The most ICH occured in May, and the least in July and October.We confirmed that there is a significant weekly variability in the IS symptom onset day.

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Section: Discussionsupporting

confidence: 65%

“…Other studies showed the highest incidence in January for all stroke types (15), and in Septembar (16), while the highest incidence of ICH is in February but the lowest in August. (5) The incidence was higher in the summer season for IS (16), other studies showed the highest incidence of IS during the winter (5), or in autumn (17).…”

Section: Introductionmentioning

confidence: 87%

Temporal Variations of Stroke Occurence

Simovic

Aleksić

Matic

et al. 2017

Serbian Journal of Experimental and Clinical Research

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“…Other Finnish studies have also suggested that acute intoxication might be associated with ischemic stroke in women, especially young women. 106,107 An increased risk of subarachnoid hemorrhage was observed among women who drank more than 1.2 drinks per day in the Nurses Health Study, 65 and trends toward increased hemorrhagic stroke have been observed in other cohort studies of women. 71,108 An evaluation of U.S. mortality data for 1987 suggested that women experienced greater alcohol-related cardiovascular mortality than men, largely due to cerebrovascular disease.…”

Section: Medical Risks Of Drinking For Women Compared With Menmentioning

confidence: 90%

Medical risks for women who drink alcohol

et al. 1998

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OBJECTIVE:To summarize for clinicians recent epidemiologic evidence regarding medical risks of alcohol use for women.METHODS: MEDLINE and PsychINFO, 1990 through 1996, were searched using key words "women" or "woman," and "alcohol." MEDLINE was also searched for other specific topics and authors from 1980 through 1996. Data were extracted and reviewed regarding levels of alcohol consumption associated with mortality, cardiovascular disease, alcoholrelated liver disease, injury, osteoporosis, neurologic symptoms, psychiatric comorbidity, fetal alcohol syndrome, spontaneous abortion, infertility, menstrual symptoms, breast cancer, and gynecologic malignancies. Gender-specific data from cohort studies of general population or large clinical samples are primarily reviewed. MAIN RESULTS:Women develop many alcohol-related medical problems at lower levels of consumption than men, probably reflecting women's lower total body water, gender differences in alcohol metabolism, and effects of alcohol on postmenopausal estrogen levels. Mortality and breast cancer are increased in women who report drinking more than two drinks daily. Higher levels of alcohol consumption by women are associated with increased menstrual symptoms, hypertension, and stroke. Women who drink heavily also appear to have increased infertility and spontaneous abortion. Adverse fetal effects occur after variable amounts of alcohol consumption, making any alcohol use during pregnancy potentially harmful. CONCLUSIONS:In general, advising nonpregnant women who drink alcohol to have fewer than two drinks daily is strongly supported by the epidemiologic literature, although specific recommendations for a particular woman should depend on her medical history and risk factors. L ess than three quarters of women in the UnitedStates drink alcohol, and those who do drink consume fewer drinks and less absolute alcohol than men. 1 However, at similar levels of self-reported alcohol consumption, the risk of psychosocial problems or dependence is greater for women than men (for definitions, see Appendix A). [2][3][4][5][6] Women also appear to develop alcohol abuse and dependence after fewer years of drinking than men. 7 Although only 4% to 5% of women in the U.S. general population meet criteria for past-year alcohol abuse or dependence, 8,9 9% of female primary care patients in some studies have reported recent heavy drinking or alcohol-related problems. 10,11 Many heavy drinkers decrease consumption following brief interventions that include explicit advice about safe drinking limits. [12][13][14] In addition, offering feedback about specific risks or consequences of their drinking to patients who drink heavily can help motivate them to decrease alcohol consumption or seek treatment. 15,16 Physicians report they would be more likely to advise patients about safe drinking practices if they were more confident of their knowledge about safe levels of alcohol consumption. 17 Women who drink more than two drinks daily on average, or who frequently drink five or more d...

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“…This could lead to an enhancement of the harmful effects of alcohol, including alcoholic liver disease and upper gastrointestinal cancer. The impact of alcohol consumption on weekdays or at weekends has only been addressed in few previous studies (Haapaniemi et al, 1996;Bråthen et al, 2000;Trevisan et al, 2004). The studies indicate that the Cardiovascular death Figure 1 On a logarithmic scale the RR of death from all causes and cardiovascular disease is shown in relation to intake of alcohol in drinks per week.…”

Section: Previous Studiesmentioning

confidence: 99%

“…One study among men and women aged 16-60 years find that recent drinking of alcohol were associated with onset of brain infarction during weekends and holidays (Haapaniemi et al, 1996). One study investigated the impact on risk of myocardial infraction (Trevisan et al, 2004).…”

Section: Previous Studiesmentioning

confidence: 99%

Drinking pattern and mortality in Danish nurses

et al. 2007

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Background/Objective: Moderate alcohol consumption has beneficial effects on survival. Sex differences, however, have been suggested implying less beneficial effect among women. We examined the impact of alcohol consumed on weekdays and at weekends, respectively, on risk of death among women. Subjects and methods: At baseline in 1993, a total of 17 772 female members of the Danish Nurse Association completed questionnaires on alcohol intake and other lifestyle factors. The influence of alcohol intake on risk of death was analyzed using Cox proportional hazard model. Results: Alcohol intake of 1-3 drinks per week was associated with the lowest risk of death. Intake above six drinks per weekend (Friday through Sunday) increased risk of death from all causes by 3% for each additional drink consumed per weekend (corresponding to an increased risk by 9% per drink per weekend day). Consumption of one or more drinks per weekday (Monday, Tuesday, Wednesday or Thursday) increased risk by 4% for each additional drink consumed per day. Conclusions: The results indicated an increasing risk of death for intake above six drinks per weekend and of one or more drinks per weekday.

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Weekend and Holiday Increase in the Onset of Ischemic Stroke in Young Women

Cited by 53 publications

References 25 publications

Temporal Variations of Stroke Occurence

Temporal Variations of Stroke Occurence

Medical risks for women who drink alcohol

Drinking pattern and mortality in Danish nurses

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