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Table 1 Smoking and the risk of cerebral infarction, summary of studies

From: Smoking as a Crucial Independent Determinant of Stroke

 

No. CI cases (No. in cohort)

No. Controls

Smoking Status

RR/OR

95% CI

Adjustments†

Matching

Case-Control Studies

       

Donnan et al. [10] Melbourne, Australia, 1989

422

422

Never smoker

1.0

 

Hypertension, High cholesterol, MI, alcohol consumption, oral contraceptive use.

Age, sex, neighbourhood

   

Ex smoker

2.0

1.3–3.2

  
   

Current smoker

3.6

2.2–5.9

  

Gorelick et al [13] Illinois, U.S. 1989

205

410

0 (pack-years)

1.00

 

Hypertension, and alcohol consumption.

Age, race, sex and method of hospital payment

   

1–32 (pack years)

2.48

1.43–4.29

  
   

≥ 33 (pack-years)

5.60

3.17–9.88

  

Gill et al [12] British Midlands, U.K 1989

368

573

Nonsmokers

1.00

 

Age, race, social class, alcohol consumption and treatment of hypertension.

 
   

Current (Male)

3.19

1.8–5.5

  
   

Current (Female)

2.26

1.2–4.2

  

Love et al. [23] Iowa, U.S. 1990

181

15–45 years

307

Current Smoker

1.43

0.98–2.11

No adjustments.

Age, gender, hospital admission date, and county of residence.

   

Past Smoker

0.64

0.25–1.69

  
   

Per cigarette/day

1.01

1.00–1.03

  
   

Per pack-year

1.04

1.02–1.05

  

Ellekjær et al [35] North Trøndelag County, Norway 1992.

163

567

Never smoker

1.00

 

Diabetes, previous myocardial infarction, previous stroke, and systolic blood pressure.

Sex, year of birth, and local government area.

   

Current Smoking

1.72

0.85–3.51

  
   

Prior Smoking

2.54

1.22–5.29

  

Lidegaard et al. [20] Denmark, 1993

320 females

15–44 years

1198

Never smoker

1.0

 

Age, use of oral contraceptives, years of schooling

 
   

Former smoker

0.6

0.4–0.9

  
   

Smoking ≤ 10/day

1.6

1.1–2.4

  
   

Smoking >10/day

1.5

1.1–2.0

  

Jamrozik et al. [17] Perth, Australia, 1994

360

518

Never Smoker

1.00

 

Alcohol, hypertension, diabetes, previous stroke or TIA, previous MI, adding salt to food, fish consumption > 2 per month.

Sex and age.

   

Ex-smoker

0.49

0.31–0.81

  
   

Current (1–20/day)

1.45

0.81–2.68

  
   

Current (≥ 21/day)

4.92

1.90–12.7

  

Petitti et al [25] California, US 1996

144 females

15–44 years

774

Never

1.00

 

No adjustments.

Year of birth, location of facility.

   

Past

0.94

0.55–1.59

  
   

Occasional

1.38

0.42–4.56

  
   

Current

2.66

1.65–4.30

  

Feigin et al [11] Novosibirsk, Russia 1998

237

237

Non smoker

1.00

 

Hypertension, LVH, IHD, mitral valve disease, and BMI.

Age and sex.

   

Current

2.20

0.99–4.78

  

Cohort Studies

       

Kawachi et al [18] Nurses' Health Study, U.S., 1993.

275 (117006 females)

Rest of stroke free cohort

Never Smokers

1.00

 

Age, hypertension, diabetes, BMI, high cholesterol, oral contraceptive use, HRT, age of smoking commencement, and follow-up period.

 
   

Ex-smokers

1.27

0.85–1.89

  
   

Current Smokers

2.53

1.91–3.35

  
   

   1–14/day

1.83

1.04–3.23

  
   

   15–24/day

3.57

2.36–5.42

  
   

   25–34/day

2.73

1.49–5.03

  
   

   ≥ 35/day

3.97

2.09–7.53

  

Benfante et al. [36] Hawaii, 1994

226

5567 (rest of cohort)

Non smokers

1.0

   
   

Current Smokers

2.30

1.8–3.0

  

Lee et al. [21] Taiwan, 1995

115 (2600, > 65 years)

Rest of Cohort

Never smokers

1.00

 

Age, sex, hypertension, diabetes, and alcohol.

Prevalence Study

   

Current Heavy (>20 per day)

1.72

1.00–2.96

  

Kurth et al. [19] Physicians' Health Study, US, 2003

913 (22022 Males)

Rest of cohort

Never Smokers

1.00

 

Age, alcohol, exercise, parental history of MI <60 yr, and randomized treatment group.

 
   

Ex-Smokers

0.99

0.86–1.14

  
   

Current Smokers

    
   

   <20/day

1.56

1.03–2.37

  
   

   ≥ 20/day

2.25

1.80–2.81

  
  1. CI, cerebral infarction; RR, relative risk; OR, odds ratio; 95% CI, Confidence Interval; †adjustments refer to adjustments made in multivariate analyses. MI, myocardial infarction; TIA, transient ischaemic attack; LVH, left ventricular hypertrophy; IHD, ischaemic heart disease; BMI, body mass index; HRT, hormone replacement therapy.