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August 16, 2022; 99 (7) Research Articles

Association of Long-term Statin Use With the Risk of Intracerebral Hemorrhage

A Danish Nationwide Case-Control Study

View ORCID ProfileDaniel Albjerg Rudolph, View ORCID ProfileStine Munk Hald, View ORCID ProfileLuis Alberto García Rodríguez, Sören Möller, Jesper Hallas, View ORCID ProfileLarry B. Goldstein, View ORCID ProfileDavid Gaist
First published May 16, 2022, DOI: https://doi.org/10.1212/WNL.0000000000200713
Daniel Albjerg Rudolph
From the Research Unit for Neurology (D.A.R., S.M.H., D.G.), Odense University Hospital; University of Southern Denmark (D.A.R., S.M.H., S.M.H.), Denmark; Centro Espanõl Investigación Farmacoepidemiológica (L.A.G.R.), Madrid, Spain; Open Patient Data Explorative Network (OPEN) (S.M.), Odense University Hospital; Department of Clinical Research (S.M.), University of Southern Denmark, Odense; Department of Clinical Pharmacology, Pharmacy and Environmental Medicine (J.H.), University of Southern Denmark; and Department of Neurology and Kentucky Neuroscience Institute (L.B.G.), University of Kentucky, Lexington.
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  • ORCID record for Daniel Albjerg Rudolph
Stine Munk Hald
From the Research Unit for Neurology (D.A.R., S.M.H., D.G.), Odense University Hospital; University of Southern Denmark (D.A.R., S.M.H., S.M.H.), Denmark; Centro Espanõl Investigación Farmacoepidemiológica (L.A.G.R.), Madrid, Spain; Open Patient Data Explorative Network (OPEN) (S.M.), Odense University Hospital; Department of Clinical Research (S.M.), University of Southern Denmark, Odense; Department of Clinical Pharmacology, Pharmacy and Environmental Medicine (J.H.), University of Southern Denmark; and Department of Neurology and Kentucky Neuroscience Institute (L.B.G.), University of Kentucky, Lexington.
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  • ORCID record for Stine Munk Hald
Luis Alberto García Rodríguez
From the Research Unit for Neurology (D.A.R., S.M.H., D.G.), Odense University Hospital; University of Southern Denmark (D.A.R., S.M.H., S.M.H.), Denmark; Centro Espanõl Investigación Farmacoepidemiológica (L.A.G.R.), Madrid, Spain; Open Patient Data Explorative Network (OPEN) (S.M.), Odense University Hospital; Department of Clinical Research (S.M.), University of Southern Denmark, Odense; Department of Clinical Pharmacology, Pharmacy and Environmental Medicine (J.H.), University of Southern Denmark; and Department of Neurology and Kentucky Neuroscience Institute (L.B.G.), University of Kentucky, Lexington.
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  • ORCID record for Luis Alberto García Rodríguez
Sören Möller
From the Research Unit for Neurology (D.A.R., S.M.H., D.G.), Odense University Hospital; University of Southern Denmark (D.A.R., S.M.H., S.M.H.), Denmark; Centro Espanõl Investigación Farmacoepidemiológica (L.A.G.R.), Madrid, Spain; Open Patient Data Explorative Network (OPEN) (S.M.), Odense University Hospital; Department of Clinical Research (S.M.), University of Southern Denmark, Odense; Department of Clinical Pharmacology, Pharmacy and Environmental Medicine (J.H.), University of Southern Denmark; and Department of Neurology and Kentucky Neuroscience Institute (L.B.G.), University of Kentucky, Lexington.
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Jesper Hallas
From the Research Unit for Neurology (D.A.R., S.M.H., D.G.), Odense University Hospital; University of Southern Denmark (D.A.R., S.M.H., S.M.H.), Denmark; Centro Espanõl Investigación Farmacoepidemiológica (L.A.G.R.), Madrid, Spain; Open Patient Data Explorative Network (OPEN) (S.M.), Odense University Hospital; Department of Clinical Research (S.M.), University of Southern Denmark, Odense; Department of Clinical Pharmacology, Pharmacy and Environmental Medicine (J.H.), University of Southern Denmark; and Department of Neurology and Kentucky Neuroscience Institute (L.B.G.), University of Kentucky, Lexington.
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Larry B. Goldstein
From the Research Unit for Neurology (D.A.R., S.M.H., D.G.), Odense University Hospital; University of Southern Denmark (D.A.R., S.M.H., S.M.H.), Denmark; Centro Espanõl Investigación Farmacoepidemiológica (L.A.G.R.), Madrid, Spain; Open Patient Data Explorative Network (OPEN) (S.M.), Odense University Hospital; Department of Clinical Research (S.M.), University of Southern Denmark, Odense; Department of Clinical Pharmacology, Pharmacy and Environmental Medicine (J.H.), University of Southern Denmark; and Department of Neurology and Kentucky Neuroscience Institute (L.B.G.), University of Kentucky, Lexington.
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David Gaist
From the Research Unit for Neurology (D.A.R., S.M.H., D.G.), Odense University Hospital; University of Southern Denmark (D.A.R., S.M.H., S.M.H.), Denmark; Centro Espanõl Investigación Farmacoepidemiológica (L.A.G.R.), Madrid, Spain; Open Patient Data Explorative Network (OPEN) (S.M.), Odense University Hospital; Department of Clinical Research (S.M.), University of Southern Denmark, Odense; Department of Clinical Pharmacology, Pharmacy and Environmental Medicine (J.H.), University of Southern Denmark; and Department of Neurology and Kentucky Neuroscience Institute (L.B.G.), University of Kentucky, Lexington.
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Citation
Association of Long-term Statin Use With the Risk of Intracerebral Hemorrhage
A Danish Nationwide Case-Control Study
Daniel Albjerg Rudolph, Stine Munk Hald, Luis Alberto García Rodríguez, Sören Möller, Jesper Hallas, Larry B. Goldstein, David Gaist
Neurology Aug 2022, 99 (7) e711-e719; DOI: 10.1212/WNL.0000000000200713

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Article Information

vol. 99 no. 7 e711-e719
DOI: 
https://doi.org/10.1212/WNL.0000000000200713
PubMed: 
35577575

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
0028-3878
Online ISSN: 
1526-632X
History: 
  • Received November 17, 2021
  • Accepted in final form March 24, 2022
  • First Published May 16, 2022.

Article Versions

  • Previous version (May 16, 2022 - 12:45).
  • You are viewing the most recent version of this article.
Copyright & Usage: 
© 2022 American Academy of Neurology

Author Disclosures

    1. Daniel Albjerg Rudolph,
    2. Stine Munk Hald, PhD,
    3. Luis Alberto García Rodríguez, MD,
    4. Sören Möller, PhD,
    5. Jesper Hallas, DrMedSci,
    6. Larry B. Goldstein, MD and
    7. David Gaist, PhD
  1. Daniel Albjerg Rudolph,
  2. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  3. Stine Munk Hald, PhD,
  4. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  5. Luis Alberto García Rodríguez, MD,
  6. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. <br>funding for travel to DDW and AHA meeting (AstraZeneca) <br>(Bayer) commercial<br>

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. <br>unrestricted research grants ( astraZeneca, Bayer) commercial<br>

    Research Support, Government Entities:
    1. <br>research grants ( EMA, Spanish drug agency)<br>

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  7. Sören Möller, PhD,
  8. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  9. Jesper Hallas, DrMedSci,
  10. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. <br>Member of the editorial board of Basic and Clinical <br>Pharmacology and Toxicology<br>

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. <br>I have participated in projects outside the submitted work <br>that were funded by AstraZeneca and Pfizer with money paid to <br>my employer (no personal compensation).<br>

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  11. Larry B. Goldstein, MD and
  12. Scientific Advisory Boards:
    1. <br>Abbott- Advisor Board (PFO) - no personal income<br>

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. <br>1. Stroke, Editorial Board, 2002-<br>2. Neurology, Editorial Board, 2003 &#x0096; 2021<br>3. Cerebrovascular Diseases, Editorial Board, 2004 - (Associate <br>Editor 2012-)<br>4. Journal of Stroke and Cerebrovascular Disease (Editorial Board)<br>5. Cardiology Today, Editorial Board, 2011-<br><br>No compensation<br>

    Patents:
    1. <br>US 11,105,815 B2 August 31, 2021. University of Kentucky Research Foundation. <br>Methods for determining the presence of pathologic amylin in a subject with <br>diabetes or pre-diabetes based on detection in a skin sample.<br>

    Publishing Royalties:
    1. <br>1. Screening for Asymptomatic Carotid Stenosis, Up-to-Date, 2007-<br>2. Use and Utility of Stroke Scales and Grading Sysytems, Up-to-<br>Date, 2005-<br>

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers'Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. <br>1. NIH 5UH3NS100606-04; 9/30/2016 thru 7/31/2021; Investigator<br>2. NIH 1R01AG056628-01A1; 4/01/2018 thru 3/31/2022; Investigator<br>3. NIH 1R01NS116058-01; 4/1/2020 thru 3/31/2025; Investigator<br>4. CDC NU58DP006953-01; 6/30/2021 thru 6/29/2024; Principal Investigator<br>

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. <br>American Heart Association - Post-acute care services and outcomes among <br>elderly stroke patients<br>

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  13. David Gaist, PhD
  14. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. <br>D. Gaist received speaker honorarium from Bristol-Myers <br>Squibb unrelated to this work.<br>

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. <br>Novo Nordisk Foundation (grant no. NNF20OC0064637)<br>

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  1. From the Research Unit for Neurology (D.A.R., S.M.H., D.G.), Odense University Hospital; University of Southern Denmark (D.A.R., S.M.H., S.M.H.), Denmark; Centro Espanõl Investigación Farmacoepidemiológica (L.A.G.R.), Madrid, Spain; Open Patient Data Explorative Network (OPEN) (S.M.), Odense University Hospital; Department of Clinical Research (S.M.), University of Southern Denmark, Odense; Department of Clinical Pharmacology, Pharmacy and Environmental Medicine (J.H.), University of Southern Denmark; and Department of Neurology and Kentucky Neuroscience Institute (L.B.G.), University of Kentucky, Lexington.
  1. Correspondence
    Dr. Gaist dgaist{at}health.sdu.dk
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