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Risk of Parkinson disease in stroke patients: A nationwide cohort study in South Korea

Authors
 Hea Lim Choi  ;  Jong Hyeon Ahn  ;  Won Hyuk Chang  ;  Wonyoung Jung  ;  Bong Sung Kim  ;  Kyungdo Han  ;  Jinyoung Youn  ;  Dong Wook Shin 
Citation
 EUROPEAN JOURNAL OF NEUROLOGY, Vol.31(4) : e16194, 2024-04 
Journal Title
EUROPEAN JOURNAL OF NEUROLOGY
ISSN
 1351-5101 
Issue Date
2024-04
MeSH
Cohort Studies ; Humans ; Incidence ; Parkinson Disease* / epidemiology ; Republic of Korea / epidemiology ; Retrospective Studies ; Risk Factors ; Stroke* / complications
Keywords
Parkinson disease ; cohort studies ; stroke
Abstract
Background and purposePrevious studies have examined the risk of stroke in patients with Parkinson disease (PD), but the incidence of PD onset among stroke patients and its risk according to severity of poststroke disabilities have scarcely been investigated. This study aims to determine whether the risk of PD is increased among stroke patients using a retrospective cohort with a large population-based database.MethodsWe used data collected by the Korean National Health Insurance Service from 2010 to 2018 and examined 307,361 stroke patients and 380,917 sex- and age-matched individuals without stroke to uncover the incidence of PD. Cox proportional hazards regression was used to calculate the hazard ratio (HR) and 95% confidence interval (CI), and the risk of PD was compared according to presence and severity of disability.ResultsDuring 4.31 years of follow-up, stroke patients had a 1.67 times higher risk of PD compared to individuals without stroke (adjusted HR = 1.67, 95% CI = 1.57-1.78). The risk of PD was greater among stroke patients with disabilities than among those without disabilities, even after adjustment for multiple covariates (adjusted HR = 1.72, 95% CI = 1.55-1.91; and adjusted HR = 1.66, 95% CI = 1.56-1.77, respectively).ConclusionsOur study demonstrated an increased risk of PD among stroke patients. Health professionals need to pay careful attention to detecting movement disorders as clues for diagnosing PD.
Full Text
https://onlinelibrary.wiley.com/doi/10.1111/ene.16194
DOI
10.1111/ene.16194
Appears in Collections:
6. Others (기타) > Severance Hospital (세브란스병원) > 1. Journal Papers
Yonsei Authors
Choi, Hea Lim(최혜림)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/199094
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