Research Article

The Contribution of Drugs and Helicobacter pylori to Gastric Mucosa Changes in Patients with Systemic Lupus Erythematosus and Antiphospholipid Syndrome

Table 8

Gastric mucosal changes at EGD according to the administration of LDASA and the rate of H. pylori detection.

Altered gastric mucosaH. pyloriPatients receiving LDASA, Patients not receiving NSAID+LDASA, Comparison group,P; OR; (95%CI)
n = 40n = 25n = 12

Antral gastritis,
n (%)
(+)27 (84.4)32 (80.0)14 (70.0)20 (80.0)3 (60.0)5 (41.7)P1 = 0.016; OR = 5.6
(95% CI 1.40-22.36)
P2 = 0.23; OR = 3.6
(95% CI 0.47-27.35)
P3 = 0.63; OR = 1.0
(95% CI 0.29-3.49)
P4 = 0.19; OR = 2.31
(95% CI 0.60- 8.94)
(-)5 (15.6)6 (30.0)2 (40.0)

Pangastritis,
n (%)
(+)005 (100.0)5 (20.0)2 (100.0)2 (16.7)P1 = 0.05; OR = 0
(95% CI 0-NaN)
P2 = 1P3 = 0.006; OR = 0
(95% CI 0-NaN)
P4 = 1
(-)000

Gastric mucosal erosion,
n (%)
(+)10 (90.9)11 (27.5)3 (60.0)5 (20.0)2 (100.0)2 (16.7)P1 = 0.36; OR = 1.90
(95% CI 0.36-10.07)
P2 = 0.85; OR = 0
(95% CI 0 -NaN)
P3 = 0.35; OR = 1.52
(95% CI 0.46-5.04)
P4 = 0.21; OR = 6.67
(95% CI 0.44-101.74)
(-)1 (9.1)2 (40.0)0

Gastric mucosal hemorrhage,
n (%)
(+)3 (75.0)4 (10.0)2 (100)2 (8.0)1 (100.0)1 (8.3)P1 = 0.68; OR = 1.22
(95% CI 0.12-12.11)
P2 = 0.80; OR = 0
(95% CI 0-NaN)
P3 = 0.58; OR = 1.28
(95% CI 0.22-7.55)
P4 = 0.67; OR = 0
(95% CI 0-NaN)
(-)1 (25.0)00

Intact gastric mucosa,
n (%)
(+)4 (80.0)5 (12.5)1 (50.0)2 (8.0)2 (50.0)4 (33.3)P1 = 0.11; OR = 3.5
(95% CI 0.76-16.05)
P2 = 0.40; OR = 4
(95% CI 0.21-75.66)
P3 = 0.45; OR = 0.61
(95% CI 0.11-3.41)
P4 = 0.52; OR = 4
(95% CI 0.12-136.97)
(-)1 (20.0)1 (50.0)2 (50.0)

Notes: LDASA: low-dose acetylsalicylic acid.
The percentage of patients with appropriate GM changes in the LDASA, non-NSAID+LDASA, and comparison groups was calculated from the total number of patients in the corresponding group.
The percentage of H. pylori-positive patients was calculated from the number of those with appropriate GM changes in the LDASA, non- NSAID+LDASA, and comparison groups.
Р1: comparison of the number of patients with and without appropriate GM changes in the comparison and LDASA groups.
Р2: comparison of the number of H. pylori-positive and H. pylori-negative patients with an appropriate GM change in the comparison and LDASA groups.
Р3: comparison of the number of patients with and without appropriate GM changes in the LDASA and non-LDASA groups.
Р4: comparison of the number of H. pylori-positive and H. pylori-negative patients with an appropriate GM change in the LDASA and non-LDASA groups.