From: Stroke incidence increases with diabetic retinopathy severity and macular edema in type 1 diabetes
Diabetic retinopathy severity | Any stroke | Any ischemic stroke | Lacunar stroke | Non-lacunar stroke | Any hemorrhagic stroke |
---|---|---|---|---|---|
No or very mild DR (ETDRS score < 35) | |||||
Incidence rate | 260 (170–382) | 230 (146–345) | 80 (35–158) | 50 (16–117) | 30 (6–88) |
Hazard ratio* | REF | REF | REF | REF | REF |
Hazard ratio† | REF | REF | REF | REF | REF |
Non-proliferative DR (ETDRS score ≥ 35 and < 61) | |||||
Incidence rate | 798 (516–1,178) | 638 (390–986) | 319 (153–587) | 192 (70–417) | 160 (52–372) |
Hazard ratio* | 2.16 (1.24–3.77) | 2.03 (1.11–3.71) | 2.77 (1.09–7.07) | 2.68 (0.81–8.80) | 3.54 (0.83–15.04) |
Hazard ratio† | 1.79 (1.02–3.15) | 1.68 (0.91–3.10) | 2.39 (0.93–6.14) | 2.36 (0.71–7.85) | 2.84 (0.66–12.28) |
Proliferative DR (ETDRS score ≥ 61) | |||||
Incidence rate | 1,140 (902–1,420) | 765 (573–1000) | 346 (222–515) | 231 (132–375) | 375 (245–550) |
Hazard ratio* | 2.67 (1.66–4.31) | 2.13 (1.26–3.60) | 2.55 (1.09–5.96) | 2.23 (0.78–6.33) | 6.88 (1.94–24.42) |
Hazard ratio† | 1.69 (1.02–2.82) | 1.35 (0.77–2.36) | 1.72 (0.70–4.22) | 1.48 (0.51–4.35) | 4.31 (1.16–16.10) |