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논문 기본 정보

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저자정보
Jeon Eun-Bi (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Kim Nayoung (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Internal Medicine and Liver Research Institute, Seoul National University, Seoul, Ko) Kim Beom Joon (Department of Neurology, Seoul National University Bundang Hospital, Seongnam,Korea) Hwang In-Chang (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Kim Sangbin (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Kim Ji-Hyun (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Choi Yonghoon (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Jun Yu Kyung (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Yoon Hyuk (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Shin Cheol Min (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Park Young Soo (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea) Lee Dong Ho (Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Internal Medicine and Liver Research Institute, Seoul National University, Seoul, Ko) Ahn Soyeon (Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam, Korea.)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver Vol.18 No.4
발행연도
2024.7
수록면
642 - 653 (12page)
DOI
10.5009/gnl230458

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Background/Aims: A few studies have suggested the association between Helicobacter pylori (HP) infection and ischemic stroke. However, the impact of HP eradication on stroke risk has not been well evaluated. This study aimed to assess the influence of HP eradication on the incidence of ischemic stroke, considering the potential effect of sex. Methods: This prospective observational cohort study was conducted at Seoul National University Bundang Hospital, from May 2003 to February 2023, and involved gastroscopy-based HP testing. Propensity score (PS) matching was employed to ensure balanced groups by matching patients in the HP eradicated group (n=2,803) in a 3:1 ratio with patients in the HP non-eradicated group (n=960). Cox proportional hazard regression analysis was used to evaluate the risk of ischemic stroke. Results: Among 6,664 patients, multivariate analysis after PS matching indicated that HP eradication did not significantly alter the risk of ischemic stroke (hazard ratio, 0.531; 95% confidence interval, 0.221 to 1.270; p=0.157). Sex-specific subgroup analyses, both univariate and multivariate, did not yield statistically significant differences. However, Kaplan-Meier analysis revealed a potential trend: the females in the HP eradicated group exhibited a lower incidence of ischemic stroke than those in the HP non-eradicated group, although this did not reach statistical significance (p=0.057). Conclusions: This finding suggests that HP eradication might not impact the risk of ischemic stroke. However, there was a trend showing that females potentially had a lower risk of ischemic stroke following HP eradication, though further investigation is required to establish definitive evidence.
#Helicobacter pylori #Eradication #Ischemic stroke #Sex

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