Alcohol flushing syndrome is significantly associated with intracranial aneurysm rupture in the Chinese Han population,Frontiers in Neurology

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Alcohol flushing syndrome is significantly associated with intracranial aneurysm rupture in the Chinese Han population
Frontiers in Neurology ( IF 2.7 ) Pub Date : 2023-03-17 , DOI: 10.3389/fneur.2023.1118980
Xiheng Chen _{1,

2,

3} , Siming Gui _{1,

2,

3} , Dingwei Deng _{1,

2,

3} , Linggen Dong _{1,

2} , Longhui Zhang _{1,

2} , Dachao Wei _{1,

2,

3} , Jia Jiang _{1,

2,

3} , Huijian Ge _{1,

2,

3} , Peng Liu _{1,

2,

3} , Ming Lv _{1,

2,

3} , Youxiang Li _{1,

2,

3}

Affiliation

ObjectiveAlthough alcohol flushing syndrome (AFS) has been associated with various diseases, its association with intracranial aneurysm rupture (IAR) is unclear. We aimed to examine this association in the Chinese Han population.MethodsWe retrospectively reviewed Chinese Han patients with intracranial aneurysms who were evaluated and treated at our institution between January 2020 and December 2021. AFS was determined using a semi-structured telephone interview. Clinical data and aneurysm characteristics were assessed. Univariate and multivariate logistic regression were conducted to determine independent factors associated with aneurysmal rupture.ResultsA total of 1,170 patients with 1,059 unruptured and 236 ruptured aneurysms were included. The incidence of aneurysm rupture was significantly higher in patients without AFS (p < 0.001). Meanwhile, there was a significantly difference between the AFS and non-AFS group in habitual alcohol consumption (10.5 vs. 27.2%, p < 0.001). In the univariate analyses, AFS [odds ratio (OR) 0.49; 95% confidence interval (CI), 0.34–0.72] was significantly associated with IAR. In the multivariate analysis, AFS was an independent predictor of IAR (OR 0.50; 95%, CI, 0.35–0.71). Multivariate analysis revealed that AFS was an independent predictor of IAR in both habitual (OR 0.11; 95% CI, 0.03–0.45) and non-habitual drinkers (OR 0.69; 95% CI, 0.49–0.96).ConclusionAlcohol flushing syndrome may be a novel clinical marker to assess the risk of IAR. The association between AFS and IAR exists independently of alcohol consumption. Further single nucleotide polymorphism testing and molecular biology studies are warranted.

更新日期：2023-03-17

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