A meta-analysis of the association between Helicobacter pylori infection and risk of hepatic encephalopathy.

Background Although the association between Helicobacter pylori (H. pylori) infection and hepatic encephalopathy (HE) has been confirmed through some research, the results of these relevant studies still remain controversial. We conducted an updated meta-analysis based on published studies to addres...

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Publicado en:Journal of Public Health Vol. 45; no. 2; pp. 321 - 330
Autores principales: Li, Junwei, Yu, Hongwei, Wang, Yuexia, Wang, Bin, Zhang, Rongguang, Chen, Shuaiyin, Duan, Guangcai
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Oxford University Press / USA Jun2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2023
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      pub: Oxford University Press / USA
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        10.1093/pubmed/fdac078
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        atl: A meta-analysis of the association between Helicobacter pylori infection and risk of hepatic encephalopathy.
      aug:
        au:
          Li, Junwei
          Yu, Hongwei
          Wang, Yuexia
          Wang, Bin
          Zhang, Rongguang
          Chen, Shuaiyin
          Duan, Guangcai
        affil: Department of Epidemiology , College of Public Health, Zhengzhou University , Zhengzhou , China
      sug:
        subj:
          Helicobacter Infections Complications
          Hepatic Encephalopathy Risk Factors
          Risk Assessment
          Human
          Systematic Review
          Meta Analysis
          Funding Source
          Odds Ratio
          Confidence Intervals
          PubMed
          Embase
          Medline
          Descriptive Statistics
          Scales
          Chi Square Test
      ab: Background Although the association between Helicobacter pylori (H. pylori) infection and hepatic encephalopathy (HE) has been confirmed through some research, the results of these relevant studies still remain controversial. We conducted an updated meta-analysis based on published studies to address this issue. Methods A systematic search was conducted, reviewing all studies about the association between H. pylori infection and HE, through November 2021. The outcome measures were presented as odds ratios (ORs) with 95% confidence intervals (CIs). Results In total, 13 studies provided data from 2784 subjects. H. pylori infection increased the risk of HE by 32% (OR = 2.32, 95% CI: 1.78–3.04). The effect became greater after hepatic encephalopathy was divided into overt HE and minimal hepatic encephalopathy (MHE) (HE OR = 2.66, 95% CI: 2.01–3.51, MHE OR = 1.74, 95% CI: 1.10–2.76). After H. pylori eradication, the risk of HE was reduced by 64%. Conclusions H. pylori infection is significantly associated with HE, and the infection rate of H. pylori also increases with the severity of HE. Eradication of H. pylori has a protective effect on HE. Therefore, it is necessary to eradicate H. pylori in HE treatments.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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