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Long-term use of statins reduces the risk of hospitalization for dementia.

Abstract：

BACKGROUND:Dementia is a major public health problem because of its high prevalence in elderly individuals, particularly in the growing category of subjects aged 80 years or more. There is accumulating evidence that cholesterol may be implicated in the pathogenesis of dementia, and this has led us to assess the relationship between time spent with statins available and the risk of hospitalization for dementia. METHODS:A population-based, nested case-control study was carried out by including the cohort of 152,729 patients from Lombardy (Italy) aged 40 years or older who were newly treated with statins between 2003 and 2004. Cases were the 1380 patients who experienced hospitalization for dementia disease from initial prescription until 2010. Up to twenty controls were randomly selected for each case. Logistic regression was used to model the risk of dementia associated with the cumulative time during which statins were available. Monte-Carlo and rule-out sensitivity analyses were performed to account for unmeasured confounders. RESULTS:Compared with patients who had very short statins coverage (less than 6 months), those on 7-24, 25-48, and >48 months of coverage respectively had risk reductions of 15% (OR: 0.85; 95% CI: 0.74 to 0.98), 28% (OR: 0.72; 95% CI: 0.61 to 0.85), and 25% (OR: 0.75; 95% CI: 0.61 to 0.94). Simvastatin and atorvastatin were both associated with a reduced risk of dementia, while no similar evidence was observed for fluvastatin and pravastatin. CONCLUSIONS:Long-term use of statins seems effective for the prevention of dementia.

journal_name

Atherosclerosis

journal_title

Atherosclerosis

authors

Corrao G,Ibrahim B,Nicotra F,Zambon A,Merlino L,Pasini TS,Catapano AL,Mancia G

doi

10.1016/j.atherosclerosis.2013.07.009

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

171-6

issue

2

eissn

0021-9150

issn

1879-1484

pii

S0021-9150(13)00414-0

journal_volume

230

pub_type

杂志文章

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