Review Article

Relationship between Subclinical Thyroid Dysfunction and the Risk of Cardiovascular Outcomes: A Systematic Review and Meta-Analysis of Prospective Cohort Studies

Table 4

Stratified and sensitivity analysis of the subclinical thyroid dysfunction.

Subclinical hypothyroidism and CHD mortalitySummary relative risk (95% CI)+Studies, n

Eligible study model
Random effects1.37 (1.03–1.84)6
Fixed effects1.47 (1.22–1.77)6
Stratified by mean age, y
<651.54 (1.11–2.15)3
≥650.98 (0.60–1.62)3
<601.54 (1.11–2.15)3
60–79.91.00 (0.57–1.74)2
≥800.93 (0.30–2.86)1
Adjustments
Adjusted analyses or matching1.37 (1.03–1.84)6
Adjusted for cardiovascular risk factors1.18 (0.83–1.67)2
Excluding studies
Exclusion of studies with thyroid hormone recipients1.17 (0.89–1.53)5
Exclusion of studies with particular population [42]1.40 (1.03–1.91)5

Subclinical hyperthyroidism and CHD mortalitySummary relative risk (95% CI)+Studies, n

Eligible study model
Random effects1.45 (1.12–1.86)6
Fixed effects1.42 (1.11–1.83)6
Stratified by mean age, y
<651.49 (1.12–1.98)3
≥651.30 (0.75–2.25)3
<601.49 (1.12–1.98)3
60–79.91.40 (0.79–2.49)2
≥800.55 (0.08–3.77)1
Adjustments
Adjusted analyses or matching1.45 (1.12–1.86)6
Adjusted for cardiovascular risk factors1.52 (1.06–2.18)3
Excluding studies
Exclusion of studies with thyroid hormone recipients1.41 (1.05–1.89)5
Exclusion of studies with particular population [42]1.47 (1.14–1.90)5

+Relative risk from meta-analysis using random-effects model.