The Relationship Between Aortic Stenosis and the Possibility of Subsequent Macular Diseases: A Nationwide Database Study

<b>Objectives</b>: This study aimed to investigate the possible relationship between aortic stenosis (AS) occupancy and the incidence of subsequent macular diseases. <b>Methods</b>: A retrospective cohort study was conducted using the TriNetX database, and participants with A...

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Main Authors: Chia-Yi Lee, Shun-Fa Yang, Elsa Lin-Chin Mai, Jing-Yang Huang, Chao-Bin Yeh, Chao-Kai Chang
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/6/760
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author Chia-Yi Lee
Shun-Fa Yang
Elsa Lin-Chin Mai
Jing-Yang Huang
Chao-Bin Yeh
Chao-Kai Chang
author_facet Chia-Yi Lee
Shun-Fa Yang
Elsa Lin-Chin Mai
Jing-Yang Huang
Chao-Bin Yeh
Chao-Kai Chang
author_sort Chia-Yi Lee
collection DOAJ
description <b>Objectives</b>: This study aimed to investigate the possible relationship between aortic stenosis (AS) occupancy and the incidence of subsequent macular diseases. <b>Methods</b>: A retrospective cohort study was conducted using the TriNetX database, and participants with AS were enrolled and matched to non-AS participants. A total of 421,860 and 421,860 participants were evenly divided into the AS and non-AS groups, respectively. The major outcomes of the present study include the development of age-related macular degeneration (AMD), retinal vascular occlusion (RVO), epiretinal membrane (ERM), and central serous chorioretinopathy (CSC). Cox proportional hazard regression was utilized for statistical analysis. <b>Results</b>: There were 4426 and 3013 AMD events; 7315 and 4753 RVO events; 2780 and 1910 ERM events; and 113 and 64 CSC events in the AS and non-AS groups, respectively. According to the results of Cox proportional hazard regression analysis, the AS group demonstrated significantly higher incidences of all macular diseases, including AMD, RVO, ERM, and CSC, compared to the non-AS group (all <i>p</i> < 0.05). The cumulative probabilities of all macular diseases were significantly higher in the AS group than in the non-AS group (all <i>p</i> < 0.05). In the sensitivity analysis, the developmental risks of AMD were significantly higher in the AS group than in the non-AS group with all traits. <b>Conclusions</b>: This study determined that AS occupancy is related to a higher risk of developing macular diseases, which positively correlated to the disease time of AS.
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spelling doaj-art-19302a05265b4c6c8a539b35502b14212025-08-20T03:43:37ZengMDPI AGDiagnostics2075-44182025-03-0115676010.3390/diagnostics15060760The Relationship Between Aortic Stenosis and the Possibility of Subsequent Macular Diseases: A Nationwide Database StudyChia-Yi Lee0Shun-Fa Yang1Elsa Lin-Chin Mai2Jing-Yang Huang3Chao-Bin Yeh4Chao-Kai Chang5Institute of Medicine, Chung Shan Medical University, Taichung 40201, TaiwanInstitute of Medicine, Chung Shan Medical University, Taichung 40201, TaiwanNobel Eye Institute, Taipei 10041, TaiwanDepartment of Medical Research, Chung Shan Medical University Hospital, Taichung 40201, TaiwanDepartment of Emergency Medicine, School of Medicine, Chung Shan Medical University, Taichung 40201, TaiwanNobel Eye Institute, Taipei 10041, Taiwan<b>Objectives</b>: This study aimed to investigate the possible relationship between aortic stenosis (AS) occupancy and the incidence of subsequent macular diseases. <b>Methods</b>: A retrospective cohort study was conducted using the TriNetX database, and participants with AS were enrolled and matched to non-AS participants. A total of 421,860 and 421,860 participants were evenly divided into the AS and non-AS groups, respectively. The major outcomes of the present study include the development of age-related macular degeneration (AMD), retinal vascular occlusion (RVO), epiretinal membrane (ERM), and central serous chorioretinopathy (CSC). Cox proportional hazard regression was utilized for statistical analysis. <b>Results</b>: There were 4426 and 3013 AMD events; 7315 and 4753 RVO events; 2780 and 1910 ERM events; and 113 and 64 CSC events in the AS and non-AS groups, respectively. According to the results of Cox proportional hazard regression analysis, the AS group demonstrated significantly higher incidences of all macular diseases, including AMD, RVO, ERM, and CSC, compared to the non-AS group (all <i>p</i> < 0.05). The cumulative probabilities of all macular diseases were significantly higher in the AS group than in the non-AS group (all <i>p</i> < 0.05). In the sensitivity analysis, the developmental risks of AMD were significantly higher in the AS group than in the non-AS group with all traits. <b>Conclusions</b>: This study determined that AS occupancy is related to a higher risk of developing macular diseases, which positively correlated to the disease time of AS.https://www.mdpi.com/2075-4418/15/6/760aortic stenosisage-related macular degenerationretinal vascular occlusionepidemiologyTriNetX database
spellingShingle Chia-Yi Lee
Shun-Fa Yang
Elsa Lin-Chin Mai
Jing-Yang Huang
Chao-Bin Yeh
Chao-Kai Chang
The Relationship Between Aortic Stenosis and the Possibility of Subsequent Macular Diseases: A Nationwide Database Study
Diagnostics
aortic stenosis
age-related macular degeneration
retinal vascular occlusion
epidemiology
TriNetX database
title The Relationship Between Aortic Stenosis and the Possibility of Subsequent Macular Diseases: A Nationwide Database Study
title_full The Relationship Between Aortic Stenosis and the Possibility of Subsequent Macular Diseases: A Nationwide Database Study
title_fullStr The Relationship Between Aortic Stenosis and the Possibility of Subsequent Macular Diseases: A Nationwide Database Study
title_full_unstemmed The Relationship Between Aortic Stenosis and the Possibility of Subsequent Macular Diseases: A Nationwide Database Study
title_short The Relationship Between Aortic Stenosis and the Possibility of Subsequent Macular Diseases: A Nationwide Database Study
title_sort relationship between aortic stenosis and the possibility of subsequent macular diseases a nationwide database study
topic aortic stenosis
age-related macular degeneration
retinal vascular occlusion
epidemiology
TriNetX database
url https://www.mdpi.com/2075-4418/15/6/760
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