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The Short- and Long-Term Risk of Stroke after Herpes Zoster: A Meta-Analysis

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Listed:
  • Xuechun Liu
  • Yeming Guan
  • Liang Hou
  • Haili Huang
  • Hongjuan Liu
  • Chuanwen Li
  • Yingying Zhu
  • Xingyong Tao
  • Qingsong Wang

Abstract

Background: Accumulating evidence indicates that stroke risk may be increased following herpes zoster. The aim of this study is to perform a meta-analysis of current literature to systematically analyze and quantitatively estimate the short and long-term effects of herpes zoster on the risk of stroke. Methods: Embase, PubMed and Cochrane library databases were searched for relevant studies up to March 2016. Studies were selected for analysis based on certain inclusion and exclusion criteria. Relative risks with 95% confidence interval (CI) were extracted to assess the association between herpes zoster and stroke. Results: A total of 8 articles were included in our analysis. The present meta-analysis showed that the risks of stroke after herpes zoster were 2.36 (95% CI: 2.17–2.56) for first 2 weeks, 1.56 (95% CI: 1.46–1.66) for first month, 1.17 (95% CI: 1.13–1.22) for first year, and 1.09 (95% CI: 1.02–1.16) for more than 1 year, respectively. Conclusion: The results of our study demonstrated that herpes zoster was associated with a higher risk of stroke, but the risks decreased along with the time after herpes zoster.

Suggested Citation

  • Xuechun Liu & Yeming Guan & Liang Hou & Haili Huang & Hongjuan Liu & Chuanwen Li & Yingying Zhu & Xingyong Tao & Qingsong Wang, 2016. "The Short- and Long-Term Risk of Stroke after Herpes Zoster: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-9, October.
    • Handle: RePEc:plo:pone00:0165203
    DOI: 10.1371/journal.pone.0165203
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    References listed on IDEAS

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    1. Caroline Minassian & Sara L Thomas & Liam Smeeth & Ian Douglas & Ruth Brauer & Sinéad M Langan, 2015. "Acute Cardiovascular Events after Herpes Zoster: A Self-Controlled Case Series Analysis in Vaccinated and Unvaccinated Older Residents of the United States," PLOS Medicine, Public Library of Science, vol. 12(12), pages 1-15, December.
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    Cited by:

    1. Nathaniel Erskine & Hoang Tran & Leonard Levin & Christine Ulbricht & Joyce Fingeroth & Catarina Kiefe & Robert J Goldberg & Sonal Singh, 2017. "A systematic review and meta-analysis on herpes zoster and the risk of cardiac and cerebrovascular events," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-18, July.

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