Relationship of opium dependency and stroke
- PMID: 24494076
- PMCID: PMC3905492
Relationship of opium dependency and stroke
Abstract
Background: Stroke is the third cause of mortality and not only leads to dependency, which is a great social, individual and cultural problem, but also can affect the physiology, immune system and coagulation system such as plasma fibrinogen, and it may potentially increase the risk of stroke. This study investigated the relationship of opium dependency and stroke.
Methods: This case- control study was carried out in 2003-2004 in Shefa Hospital in Kerman, Iran. The case group included 105 stroke patients and control group included the same number of patients from urology ward. There were 55 females and 50 males in each group. Patients' data were collected through their medical history, physical examinations, and diagnosis procedures recorded in specific questionnaires. Data were analyzed using Chi square test.
Findings: 31 patients (29.5%) in the case and 11 (10.5%) in the control group were opium dependent and the difference was significant (P = 0.001). The relationship of cigarette smoking and stroke was also significant (P = 0.0001). To find the independent effect of each of these two factors, a logistic regression analysis was done, which showed that the independent relationship of each of these two was significant (Odds ratio = 2.207, P = 0.012 and Odds ratio = 2.36, P = 0.040 for cigarette and opium dependency respectively).
Conclusion: Opium dependency can be regarded as an independent risk factor for stroke. As this corresponds to previous findings as to opium dependency can increase plasma fibrinogen and development of atherosclerosis, it is important for prophylactic manages.
Keywords: Drug dependency; Opium; Stroke.
Similar articles
-
Comparison of Brain Magnetic Resonance Imaging Lesions in Opium Addict and Non-addict Patients with Thrombotic Stroke: A Case-Control Study.Addict Health. 2021 Apr;13(2):114-119. doi: 10.22122/ahj.v13i2.302. Addict Health. 2021. PMID: 34703532 Free PMC article.
-
Cerebrovascular Reactivity and Carotid Intima-Media Thickness in Opium Dependents: A Case-Control Study.Addict Health. 2018 Apr;10(2):131-136. doi: 10.22122/ahj.v10i2.555. Addict Health. 2018. PMID: 31069037 Free PMC article.
-
Opium and risk of laryngeal cancer.Laryngoscope. 2003 Nov;113(11):1939-43. doi: 10.1097/00005537-200311000-00016. Laryngoscope. 2003. PMID: 14603052
-
Comparative Evaluation of Psychiatric Disorders in Opium and Heroin Dependent Patients†This article has been published in the Journal of Rafsanjan University of Medical Sciences in Persian language.Addict Health. 2009 Summer;1(1):20-3. Addict Health. 2009. PMID: 24494078 Free PMC article.
-
Opium abuse and stroke in Iran: A systematic review and meta-analysis.Front Neurol. 2022 Sep 9;13:855578. doi: 10.3389/fneur.2022.855578. eCollection 2022. Front Neurol. 2022. PMID: 36188414 Free PMC article.
Cited by
-
Cerebral hemodynamic abnormalities of patients with ischemic stroke who are opium addicted: A study by transcranial doppler ultrasonography.Iran J Neurol. 2019 Apr 4;18(2):76-81. Iran J Neurol. 2019. PMID: 31565204 Free PMC article.
-
A Mechanistic and Pathophysiological Approach for Stroke Associated with Drugs of Abuse.J Clin Med. 2019 Aug 23;8(9):1295. doi: 10.3390/jcm8091295. J Clin Med. 2019. PMID: 31450861 Free PMC article. Review.
-
Comparison of Brain Magnetic Resonance Imaging Lesions in Opium Addict and Non-addict Patients with Thrombotic Stroke: A Case-Control Study.Addict Health. 2021 Apr;13(2):114-119. doi: 10.22122/ahj.v13i2.302. Addict Health. 2021. PMID: 34703532 Free PMC article.
-
Comparison between Homocysteine, Fibrinogen, PT, PTT, INR and CRP in Male Smokers with/without Addiction to Opium.Addict Health. 2017 Jan;9(1):17-23. Addict Health. 2017. PMID: 29026499 Free PMC article.
-
Frequency of Opium Addiction in Patients with Ischemic Stroke and Comparing their Cerebrovascular Doppler Ultrasound Changes to Non-Addicts.Addict Health. 2013 Summer-Autumn;5(3-4):95-101. Addict Health. 2013. PMID: 24494165 Free PMC article.
References
-
- Masumi M, Nasti HR, Farajpour F. A comparison study of plasma fibrinogen level in opium addicts and non-addicts. Journal of Kerman University of Medical Sciences. 2001;9(1):27–31.
-
- Bailey PL, Egan TD, Stanley TH. Intravenous opioid anesthetics. In: Ronald D, Miller MD, editors. Miller's Anesthesia. 5th ed. Philiadelphia: Churchill Livingstone; 1999. pp. 273–376.
-
- Baird TA, Parsons MW, Barber PA, Butcher KS, Desmond PM, Tress BM, et al. The influence of diabetes mellitus and hyperglycaemia on stroke incidence and outcome. J Clin Neurosci. 2002;9(6):618–26. - PubMed
-
- Batchelor T, Cudkowicz ME. Principles of Neuroepidemiology. Boston: Butterworth-Heinemannc; 2001. pp. 18–27.
-
- Biller J, Love B.B. Vascular diseases of the nervous system. A. Ischemic crebravascular disease. In: Bradley WG, Duroff RB, Fentichel GM, Jankovic J, editors. Neurology in Clinical Practice. 4th ed. London: Butterworth-Heinemann; 2004. pp. 1197–267.
LinkOut - more resources
Full Text Sources
Research Materials