Title :

Incidence and Time Trends of Pregnancy-Related Stroke Between 2010 and 2018: The Nationwide CONCEPTION Study.

Author(s) :

Béjot, Yannick [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité
Gabet, Amélie [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité
Grave, Clémence [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité
Regnault, Nolwenn [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité
Chatignoux, Edouard [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité
Moutengou, Elodie [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité
Deneux-Tharaux, Catherine [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité
Kretz, Sandrine [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité
Mounier Vehier, Claire [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Tsatsaris, Vassilis [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité
Plu-Bureau, Geneviève [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité
Blacher, Jacques [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité
Olié, Valérie [Auteur]
Université de Bourgogne [UB]
Université Lille Nord (France)
AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité [CRESS (U1153 / UMR_A_1125 / UMR_S_1153)]
Santé publique France - French National Public Health Agency [Saint-Maurice, France]
Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique [EPOPé [CRESS - U1153 / UMR_A 1125]]
Université Paris Descartes, Sorbonne Paris Cité

Journal title :

Neurology

Abbreviated title :

Neurology

Publication date :

2022-09-02

ISSN :

1526-632X

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

ackground and Objectives Despite the potentially devastating effects of pregnancy-related stroke, few studies have examined its incidence by type of stroke. We aimed to study the nationwide incidence rates and recent ...
Show more >ackground and Objectives Despite the potentially devastating effects of pregnancy-related stroke, few studies have examined its incidence by type of stroke. We aimed to study the nationwide incidence rates and recent temporal trends for all types of pregnancy-related stroke and to compare these incidences with stroke incidence in nonpregnant women. Methods We conducted a study of 6,297,698 women aged 15–49 years who gave birth in France between 2010 and 2018 with no history of stroke before pregnancy by collecting data from the French National Health Insurance Information System database. Poisson regression was used to estimate the incidence by types of strokes for the different pregnancy periods and the incidence rate ratio of stroke in pregnant vs nonpregnant French women. Results Among the 6,297,698 women, 1,261 (24.0 per 100,000 person-years) experienced a first ever stroke during, antepartum peripartum, or the first 6 weeks of postpartum. Of the pregnancy-related strokes, 42.9% were ischemic (IS), 41.9% were hemorrhagic (with similar proportion of intracerebral and subarachnoid hemorrhage), and 17.4% were cerebral venous thrombosis (CVT). Compared with nonpregnant women, incidence rates of stroke were similar during pregnancy for IS (adjusted incidence risk ratio [IRR] 0.9 [0.8–1.1]), slightly higher for all hemorrhagic strokes (IRR 1.4 [1.2–1.8]), and considerably increased for CVT (IRR 8.1 [6.5–10.1]). Pregnancy-related stroke incidence rose between 2010 and 2018 for IS and HS but was stable for CVT. Discussion The risk of pregnancy-related CVT was more than 8-fold higher than that observed in nonpregnant women. The incidence of pregnancy-related IS and HS is increasing over time, and efforts should be made for prevention considering treatable cardiovascular risk factors and hypertensive disorders in pregnant women.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T03:24:49Z
2024-01-15T13:28:57Z