{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:34:36Z","timestamp":1753889676741,"version":"3.41.2"},"reference-count":62,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"19","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Stroke and traumatic intracranial hemorrhage (tICH) are major causes of disability worldwide, with stroke exerting significant negative effects on the brain, potentially elevating tICH risk. In this study, we investigated tICH risk in stroke survivors.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">Using relevant data (2017\u20132019) from Taiwan's National Health Insurance Research Database, we conducted a population\u2010based retrospective cohort study. Patients were categorized into stroke and nonstroke groups, and tICH risk was compared using a Cox proportional\u2010hazards model. Among 164\u2009628 patients with stroke, 1004 experienced tICH. Patients with stroke had a higher tICH risk than nonstroke counterparts (adjusted hazard ratio [HR], 3.49 [95% CI, 3.17\u20133.84]). Subgroup analysis by stroke type revealed higher tICH risk in hemorrhagic stroke survivors compared with ischemic stroke survivors (HR, 5.64 [95% CI, 4.97\u20136.39] versus 2.87 [95% CI, 2.58\u20133.18], respectively). Older patients (\u226545\u2009years) with stroke had a higher tICH risk compared with their younger counterparts (&lt;45\u2009years), in contrast to younger patients without stroke (HR, 7.89 [95% CI, 6.41\u20139.70] versus 4.44 [95% CI, 2.99\u20136.59], respectively). Dementia and Parkinson disease emerged as significant tICH risk factors (HR, 1.69 [95% CI, 1.44\u20132.00] versus 2.17 [95% CI, 1.71\u20132.75], respectively). In the stroke group, the highest tICH incidence density occurred 3\u2009months after stroke, particularly in patients aged &gt;65\u2009years.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Stroke survivors, particularly those with hemorrhagic stroke and those aged \u226545\u2009years, face elevated tICH risk. Interventions targeting the high\u2010risk period are vital, with fall injuries potentially contributing to tICH incidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.124.035725","type":"journal-article","created":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T09:31:02Z","timestamp":1726651862000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Risk of Traumatic Intracranial Hemorrhage After Stroke: A Nationwide Population\u2010Based Cohort Study in Taiwan"],"prefix":"10.1161","volume":"13","author":[{"given":"Yun\u2010Ting","family":"Fang","sequence":"first","affiliation":[{"name":"School of Medicine, College of Medicine Taipei Medical University Taipei Taiwan"},{"name":"Taipei Veterans General Hospital Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu\u2010Fen","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Medical Research, Wan Fang Hospital Taipei Medical University Taipei Taiwan"},{"name":"School of Public Health, College of Public Health Taipei Medical University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2724-1739","authenticated-orcid":false,"given":"Ping\u2010Ling","family":"Chen","sequence":"additional","affiliation":[{"name":"Graduate Institute of Injury Prevention and Control, College of Public Health Taipei Medical University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2266-8920","authenticated-orcid":false,"given":"Tian\u2010Shin","family":"Yeh","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine Taipei Medical University Taipei Taiwan"},{"name":"Department of Physical Medicine and Rehabilitation, Wan Fang Hospital Taipei Medical University Taipei Taiwan"},{"name":"Department of Epidemiology and Nutrition, Harvard T. 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