Age of onset of cerebral venous thrombosis: the BEAST study

  • Redoy Ranjan
    Institute of Cardiovascular Research Royal Holloway, University of London (ICR2UL), London, UK 1
  • Gie Ken-Dror
    Institute of Cardiovascular Research Royal Holloway, University of London (ICR2UL), London, UK 1
  • Ida Martinelli
    Fondazione IRCCS Ca’Granda – Ospedale Maggiore Policlinico, A. Bianchi Bonomi Hemophilia and Thrombosis Center, Milan, Italy 2
  • Elvira Grandone
    Atherosclerosis and Thrombosis Unit, I.R.C.C.S. Home for the Relief of Suffering, S. Giovanni Rotondo, Foggia, Italy 3
  • Sini Hiltunen
    Department of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland 5
  • Erik Lindgren
    Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden 6
  • Maurizio Margaglione
    Medical Genetics, Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy 8
  • Veronique Le Cam Duchez
    Normandy University, UNIROUEN, INSERM U1096, Rouen University Hospital, Vascular Hemostasis Unit and INSERM CIC-CRB 1404, Rouen, France 9
  • Aude Bagan Triquenot
    Department of Neurology, Rouen University Hospital, Rouen, France 10
  • Marialuisa Zedde
    Neurology Unit, Stroke Unit, Local Health Unit – Authority IRCCS of Reggio Emilia, Reggio Emilia, Italy 11
  • Michelangelo Mancuso
    Department of Clinical and Experimental Medicine, Neurological Institute, University of Pisa, Pisa, Italy 12
  • Ynte M Ruigrok
    UMC Utrecht Brain Center, Department of Neurology and Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands 13
  • Brad Worrall
    Department of Neurology, University of Virginia, Charlottesville, VA, USA 14
  • Jennifer J Majersik
    Department of Neurology, University of Utah, Salt Lake City, UT, USA 15
  • Jukka Putaala
    Department of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland 5
  • Elena Haapaniemi
    Department of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland 5
  • Susanna M Zuurbier
    Department of Neurology, Amsterdam University Medical Centers, Location AMC, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, The Netherlands 16
  • Matthijs C Brouwer
    Department of Neurology, Amsterdam University Medical Centers, Location AMC, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, The Netherlands 16
  • Serena M Passamonti
    Fondazione IRCCS Ca’Granda – Ospedale Maggiore Policlinico, A. Bianchi Bonomi Hemophilia and Thrombosis Center, Milan, Italy 2
  • Maria Abbattista
    Fondazione IRCCS Ca’Granda – Ospedale Maggiore Policlinico, A. Bianchi Bonomi Hemophilia and Thrombosis Center, Milan, Italy 2
  • Paolo Bucciarelli
    Fondazione IRCCS Ca’Granda – Ospedale Maggiore Policlinico, A. Bianchi Bonomi Hemophilia and Thrombosis Center, Milan, Italy 2
  • Robin Lemmens
    Department of Neurosciences, Experimental Neurology, KU Leuven–University of Leuven, Leuven, Belgium 17
  • Emanuela Pappalardo
    Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy 19
  • Paolo Costa
    Department of Clinical and Experimental Sciences, Neurology Clinic, University of Brescia, Brescia, Italy 20
  • Marina Colombi
    Department of Molecular and Translational Medicine, Division of Biology and Genetics, University of Brescia, Brescia, Italy 21
  • Diana Aguiar de Sousa
    Stroke Center, Lisbon Central University Hospital, Lisbon, Portugal 22
  • Sofia Rodrigues
    Department of Neurosciences, Hospital of Santa Maria, University of Lisbon, Lisbon, Portugal 24
  • Patrícia Canhao
    Department of Neurosciences, Hospital of Santa Maria, University of Lisbon, Lisbon, Portugal 24
  • Aleksander Tkach
    Department of Neurology, University of Utah, Salt Lake City, UT, USA 15
  • Rosa Santacroce
    Medical Genetics, Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy 8
  • Giovanni Favuzzi
    Atherosclerosis and Thrombosis Unit, I.R.C.C.S. Home for the Relief of Suffering, S. Giovanni Rotondo, Foggia, Italy 3
  • Antonio Arauz
    Stroke Clinic, National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, Mexico City, Mexico 25
  • Donatella Colaizzo
    Atherosclerosis and Thrombosis Unit, I.R.C.C.S. Home for the Relief of Suffering, S. Giovanni Rotondo, Foggia, Italy 3
  • Kostas Spengos
    Department of Neurology, University of Athens School of Medicine, Eginition Hospital, Athens, Greece 26
  • Amanda Hodge
    McMaster University, Pathology and Molecular Medicine, Population Health Research Institute and Thrombosis and Atherosclerosis Research Institute, Hamilton Health Sciences, Hamilton, ON, Canada 27
  • Reina Ditta
    McMaster University, Pathology and Molecular Medicine, Population Health Research Institute and Thrombosis and Atherosclerosis Research Institute, Hamilton Health Sciences, Hamilton, ON, Canada 27
  • Thang S Han
    Institute of Cardiovascular Research Royal Holloway, University of London (ICR2UL), London, UK 1
  • Alessandro Pezzini
    Department of Clinical and Experimental Sciences, Neurology Clinic, University of Brescia, Brescia, Italy 20
  • Jonathan M Coutinho
    Department of Neurology, Amsterdam University Medical Centers, Location AMC, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, The Netherlands 16
  • Vincent Thijs
    Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, VIC, Australia 29
  • Katarina Jood
    Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden 6
  • Turgut Tatlisumak
    Department of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland 5
  • José M Ferro
    Instituto de Medicina Molecular João Lobo Antunes, Universidade de Lisboa, Lisboa, Portugal 30
  • Pankaj Sharma
    Institute of Cardiovascular Research Royal Holloway, University of London (ICR2UL), London, UK 1

書誌事項

公開日
2023-03-01
権利情報
  • https://academic.oup.com/pages/standard-publication-reuse-rights
  • https://journals.sagepub.com/page/policies/text-and-data-mining-license
DOI
  • 10.1177/23969873221148267
公開者
Oxford University Press (OUP)

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説明

<jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background:</jats:title> <jats:p>Cerebral venous thrombosis (CVT) is an uncommon cause of stroke in young adults. We aimed to determine the impact of age, gender and risk factors (including sex-specific) on CVT onset.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>We used data from the BEAST (Biorepository to Establish the Aetiology of Sinovenous Thrombosis), a multicentre multinational prospective observational study on CVT. Composite factors analysis (CFA) was performed to determine the impact on the age of CVT onset in males and females.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>A total of 1309 CVT patients (75.3% females) aged ⩾18 years were recruited. The overall median (IQR-interquartile range) age for males and females was 46 (35–58) years and 37 (28–47) years (p &lt; 0.001), respectively. However, the presence of antibiotic-requiring sepsis (p = 0.03, 95% CI 27–47 years) among males and gender-specific risk factors like pregnancy (p &lt; 0.001, 95% CI 29–34 years), puerperium (p &lt; 0.001, 95% CI 26–34 years) and oral contraceptive use (p &lt; 0.001, 95% CI 33–36 years) were significantly associated with earlier onset of CVT among females. CFA demonstrated a significantly earlier onset of CVT in females, ~12 years younger, in those with multiple (⩾1) compared to ‘0’ risk factors (p &lt; 0.001, 95% CI 32–35 years).</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>Women suffer CVT 9 years earlier in comparison to men. Female patients with multiple (⩾1) risk factors suffer CVT ~12 years earlier compared to those with no identifiable risk factors.</jats:p> </jats:sec>

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