| Title: | Racial Differences in Bleeding Risk: An Ecological Epidemiological Study Comparing Korea and United Kingdom Subjects |
| Journal: | Thrombosis and Haemostasis |
| Published: | 8 Mar 2024 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/38359877/ |
| DOI: | https://doi.org/10.1055/a-2269-1123 |
| Citations: | 4 (4 in last 2 years) as of 8 Aug 2024 |
Publication 8725
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Abstract
BACKGROUND: This study aimed to evaluate racial differences in bleeding incidence by conducting an ecological epidemiological study using data from Korea and the United Kingdom.</p>
METHODS: We included healthy participants from the Korean National Health Insurance Service-Health Screening and the UK Biobank who underwent health examinations between 2006 and 2010 and had no comorbidities or history of medication use. Finally, 112,750 East Asians (50.7% men, mean age 52.6 years) and 210,995 Caucasians (44.7% men, mean age 55.0 years) were analyzed. The primary outcome was composed of intracranial hemorrhage (ICH) and bleeding from the gastrointestinal, respiratory, and genitourinary systems.</p>
RESULTS: During the follow-up, primary outcome events occurred in 2,110 East Asians and in 6,515 Caucasians. East Asians had a 38% lower 5-year incidence rate compared with Caucasians (3.88 vs. 6.29 per 1,000 person-years; incidence rate ratio [IRR]: 0.62, 95% confidence interval [CI]: 0.59-0.65). East Asians showed a lower incidence of major bleeding (IRR: 0.86, 95% CI: 0.81-0.91), bleeding from the gastrointestinal (IRR: 0.53, 95% CI: 0.49-0.56), and genitourinary systems (IRR: 0.49, 95% CI: 0.44-0.53) compared with Caucasians. The incidence rates of ICH (IRR: 3.20, 95% CI: 2.67-3.84) and bleeding from the respiratory system (IRR: 1.28, 95% CI: 1.11-1.47) were higher in East Asians. Notably, East Asians consuming alcohol ≥3 times/week showed a higher incidence of the primary outcome than Caucasians (IRR: 1.12, 95% CI: 1.01-1.25).</p>
CONCLUSION: This ecological study revealed significant racial differences in bleeding incidence, influenced by anatomical sites and lifestyle habits, underscoring the need for tailored approaches in bleeding management based on race.</p>
13 Keywords
- Adult
- Aged
- East Asian People
- Female
- Hemorrhage
- Humans
- Incidence
- Male
- Middle Aged
- Republic of Korea
- Risk Factors
- United Kingdom
- White People
11 Authors
- Dong-Seon Kang
- Pil-Sung Yang
- Daehoon Kim
- Eunsun Jang
- Hee Tae Yu
- Tae-Hoon Kim
- Jung Hoon Sung
- Hui-Nam Pak
- Moon-Hyoung Lee
- Gregory Y.H. Lip
- Boyoung Joung
1 Application
| Application ID | Title |
|---|---|
| 77793 | The causal inference study to determine the association of genetically predicted biological, behavioral, ethnic factors with risk of atrial fibrillation and its associated complications. |
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