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Preeclampsia Increases the Incidence of Postpartum Cerebrovascular Disease in Korean Population

 Yejin Park  ;  Geum Joon Cho  ;  Log Young Kim  ;  Tae Seon Lee  ;  Min Jeong Oh  ;  Young Han Kim 
 Journal of Korean Medical Science, Vol.33(6) : e35, 2018 
Journal Title
 Journal of Korean Medical Science 
Issue Date
Cerebrovascular Disease ; Insurance Claim Reporting ; Korea ; Postpartum Period ; Preeclampsia ; Pregnancy
BACKGROUND: Multiple studies have been reported regarding preeclampsia as a possible risk factor of cerebrovascular disease (CVD). However, the correlation of preeclampsia and CVD, whether it is a cause-effect relationship or they are sharing common predisposing condition, is not well understood. Therefore, the aim of this study was to investigate the association between the preeclampsia during pregnancy and development of postpartum CVD. METHODS: A total of 1,384,550 Korean women who had a delivery between January 1, 2010 and December 31, 2012, were enrolled. Women with the risk of CVD within 1 year prior to pregnancy were excluded based on the Charlson comorbidity index. Primary endpoint was the event of CVD within a year from delivery. After exclusion, 1,075,061 women were analyzed. RESULTS: During the follow-up of 1 year postpartum, there were 25,577 preeclampsia out of 1,072,041 women without postpartum CVD (2.39%), and 121 of 3,020 women with postpartum CVD had preeclampsia before delivery (4.01%). In multivariate logistic regression analysis, women who had preeclampsia during pregnancy showed a higher risk for postpartum CVD (odds ratio, 1.64; 95% confidence interval, 1.37-1.98). CONCLUSION: The incidence of CVD after delivery was higher in women who had preeclampsia during pregnancy.
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1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Han(김영한) ORCID logo https://orcid.org/0000-0003-0645-6028
Park, Yejin(박예진) ORCID logo https://orcid.org/0000-0002-0545-7267
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