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Epidemiology and risk factors for chronic kidney disease in patients with ischaemic stroke
Background There is growing evidence for an association between chronic renal disease (CKD) and adverse cerebrovascular events because of the overlap of several risk factors. The purpose of this study is to examine the epidemiology of CKD and the characteristics of risk factors for CKD in the popula...
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| Published in: | European journal of clinical investigation 2013-08, Vol.43 (8), p.829-835 |
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| container_title | European journal of clinical investigation |
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| creator | Bao, Yu-Shi Song, Li-Ting Zhong, Di Song, A-Xia Jia, Xi-Bei Liu, Rui-Chan Xie, Ru-Juan Na, Shi-Ping |
| description | Background
There is growing evidence for an association between chronic renal disease (CKD) and adverse cerebrovascular events because of the overlap of several risk factors. The purpose of this study is to examine the epidemiology of CKD and the characteristics of risk factors for CKD in the population with ischaemic stroke.
Methods
This retrospective study included 571 patients with ischaemic stroke. Estimated glomerular filtration rate (eGFR) was calculated by the Modification of Diet in Renal Disease (MDRD) study equation. Renal function was assessed according to the Kidney Disease Outcomes Quality Initiative (K/DOQI)‐CKD classification.
Results
Study demonstrated that the major factors associated with CKD in the ischaemic stroke patients were age, diabetes mellitus, hypertension, systolic blood pressure, LDL cholesterol and serum uric acid. Diabetes mellitus (OR 4·146, 95% CI 1·047–16·418, P = 0·043), hypertension and diabetes mellitus (OR 3·574, 95% CI 1·248–10·234, P = 0·018), serum uric acid (OR 1·010, 95% CI 1·006–1·013, P |
| doi_str_mv | 10.1111/eci.12113 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1411628003</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1411628003</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3633-f13b958b8e2236b330d83187a19bf8b4c8ce99e47817c9367fb5fc3291b2707a3</originalsourceid><addsrcrecordid>eNp1kEFPGzEQhS1EVQLtgT9Q-UgPCx7PZm0fS5QSJNpKiAqJi-X1zjZuNuvU3ojm37NtgBtzmcv3Pj09xk5BnMN4F-TDOUgAPGATwGpaSKzkIZsIAWUhjZJH7Djn30IIDSjfsyOJujKl0BP2MN-EhtYhdvHXjru-4SnkFW-dH2LKvI2J-2WKffB8FZqedrwJmVwmHnq-cUOgfsj8MQxLHrJfulHleR5SXNEH9q51XaaPz_-E_fw6v5stipsfV9ezLzeFxwqxaAFrM9W1JjnWrhFFoxG0cmDqVtel156MoVJpUN5gpdp62nqUBmqphHJ4ws723k2Kf7aUB7seq1DXuZ7iNlsoASqphcAR_bxHfYo5J2rtJoW1SzsLwv6b0o5T2v9TjuynZ-22XlPzSr5sNwIXe-AxdLR722Tns-sXZbFPhDzQ39eESytbKVRTe__9ykrz7XJxv7i1D_gEy4eMPQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1411628003</pqid></control><display><type>article</type><title>Epidemiology and risk factors for chronic kidney disease in patients with ischaemic stroke</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Bao, Yu-Shi ; Song, Li-Ting ; Zhong, Di ; Song, A-Xia ; Jia, Xi-Bei ; Liu, Rui-Chan ; Xie, Ru-Juan ; Na, Shi-Ping</creator><creatorcontrib>Bao, Yu-Shi ; Song, Li-Ting ; Zhong, Di ; Song, A-Xia ; Jia, Xi-Bei ; Liu, Rui-Chan ; Xie, Ru-Juan ; Na, Shi-Ping</creatorcontrib><description>Background
There is growing evidence for an association between chronic renal disease (CKD) and adverse cerebrovascular events because of the overlap of several risk factors. The purpose of this study is to examine the epidemiology of CKD and the characteristics of risk factors for CKD in the population with ischaemic stroke.
Methods
This retrospective study included 571 patients with ischaemic stroke. Estimated glomerular filtration rate (eGFR) was calculated by the Modification of Diet in Renal Disease (MDRD) study equation. Renal function was assessed according to the Kidney Disease Outcomes Quality Initiative (K/DOQI)‐CKD classification.
Results
Study demonstrated that the major factors associated with CKD in the ischaemic stroke patients were age, diabetes mellitus, hypertension, systolic blood pressure, LDL cholesterol and serum uric acid. Diabetes mellitus (OR 4·146, 95% CI 1·047–16·418, P = 0·043), hypertension and diabetes mellitus (OR 3·574, 95% CI 1·248–10·234, P = 0·018), serum uric acid (OR 1·010, 95% CI 1·006–1·013, P < 0·001) and LDL cholesterol (OR 1·431, 95% CI 1·063–1·928, P = 0·018) were independent risk factors associated with CKD in the patients with ischaemic stroke.
Conclusions
The patients with ischaemic stroke may be considered as a high‐risk population for CKD and be aggressively managed for CKD prevention. The high prevalence of CKD in population with ischaemic stroke prompts the need for greater public awareness about risks of CKD.</description><identifier>ISSN: 0014-2972</identifier><identifier>EISSN: 1365-2362</identifier><identifier>DOI: 10.1111/eci.12113</identifier><identifier>PMID: 23869408</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>China - epidemiology ; Chronic kidney disease ; Diabetic Nephropathies - complications ; Diabetic Nephropathies - epidemiology ; epidemiology ; Female ; Glomerular Filtration Rate - physiology ; Humans ; Hypertension - complications ; Hypertension - epidemiology ; ischaemic stroke ; Male ; Middle Aged ; Regression Analysis ; Renal Insufficiency, Chronic - complications ; Renal Insufficiency, Chronic - epidemiology ; Renal Insufficiency, Chronic - physiopathology ; Retrospective Studies ; risk factor ; Risk Factors ; Stroke - complications ; Stroke - epidemiology</subject><ispartof>European journal of clinical investigation, 2013-08, Vol.43 (8), p.829-835</ispartof><rights>2013 Stichting European Society for Clinical Investigation Journal Foundation. Published by John Wiley & Sons Ltd</rights><rights>2013 Stichting European Society for Clinical Investigation Journal Foundation. Published by John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3633-f13b958b8e2236b330d83187a19bf8b4c8ce99e47817c9367fb5fc3291b2707a3</citedby><cites>FETCH-LOGICAL-c3633-f13b958b8e2236b330d83187a19bf8b4c8ce99e47817c9367fb5fc3291b2707a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23869408$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bao, Yu-Shi</creatorcontrib><creatorcontrib>Song, Li-Ting</creatorcontrib><creatorcontrib>Zhong, Di</creatorcontrib><creatorcontrib>Song, A-Xia</creatorcontrib><creatorcontrib>Jia, Xi-Bei</creatorcontrib><creatorcontrib>Liu, Rui-Chan</creatorcontrib><creatorcontrib>Xie, Ru-Juan</creatorcontrib><creatorcontrib>Na, Shi-Ping</creatorcontrib><title>Epidemiology and risk factors for chronic kidney disease in patients with ischaemic stroke</title><title>European journal of clinical investigation</title><addtitle>Eur J Clin Invest</addtitle><description>Background
There is growing evidence for an association between chronic renal disease (CKD) and adverse cerebrovascular events because of the overlap of several risk factors. The purpose of this study is to examine the epidemiology of CKD and the characteristics of risk factors for CKD in the population with ischaemic stroke.
Methods
This retrospective study included 571 patients with ischaemic stroke. Estimated glomerular filtration rate (eGFR) was calculated by the Modification of Diet in Renal Disease (MDRD) study equation. Renal function was assessed according to the Kidney Disease Outcomes Quality Initiative (K/DOQI)‐CKD classification.
Results
Study demonstrated that the major factors associated with CKD in the ischaemic stroke patients were age, diabetes mellitus, hypertension, systolic blood pressure, LDL cholesterol and serum uric acid. Diabetes mellitus (OR 4·146, 95% CI 1·047–16·418, P = 0·043), hypertension and diabetes mellitus (OR 3·574, 95% CI 1·248–10·234, P = 0·018), serum uric acid (OR 1·010, 95% CI 1·006–1·013, P < 0·001) and LDL cholesterol (OR 1·431, 95% CI 1·063–1·928, P = 0·018) were independent risk factors associated with CKD in the patients with ischaemic stroke.
Conclusions
The patients with ischaemic stroke may be considered as a high‐risk population for CKD and be aggressively managed for CKD prevention. The high prevalence of CKD in population with ischaemic stroke prompts the need for greater public awareness about risks of CKD.</description><subject>China - epidemiology</subject><subject>Chronic kidney disease</subject><subject>Diabetic Nephropathies - complications</subject><subject>Diabetic Nephropathies - epidemiology</subject><subject>epidemiology</subject><subject>Female</subject><subject>Glomerular Filtration Rate - physiology</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Hypertension - epidemiology</subject><subject>ischaemic stroke</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Regression Analysis</subject><subject>Renal Insufficiency, Chronic - complications</subject><subject>Renal Insufficiency, Chronic - epidemiology</subject><subject>Renal Insufficiency, Chronic - physiopathology</subject><subject>Retrospective Studies</subject><subject>risk factor</subject><subject>Risk Factors</subject><subject>Stroke - complications</subject><subject>Stroke - epidemiology</subject><issn>0014-2972</issn><issn>1365-2362</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp1kEFPGzEQhS1EVQLtgT9Q-UgPCx7PZm0fS5QSJNpKiAqJi-X1zjZuNuvU3ojm37NtgBtzmcv3Pj09xk5BnMN4F-TDOUgAPGATwGpaSKzkIZsIAWUhjZJH7Djn30IIDSjfsyOJujKl0BP2MN-EhtYhdvHXjru-4SnkFW-dH2LKvI2J-2WKffB8FZqedrwJmVwmHnq-cUOgfsj8MQxLHrJfulHleR5SXNEH9q51XaaPz_-E_fw6v5stipsfV9ezLzeFxwqxaAFrM9W1JjnWrhFFoxG0cmDqVtel156MoVJpUN5gpdp62nqUBmqphHJ4ws723k2Kf7aUB7seq1DXuZ7iNlsoASqphcAR_bxHfYo5J2rtJoW1SzsLwv6b0o5T2v9TjuynZ-22XlPzSr5sNwIXe-AxdLR722Tns-sXZbFPhDzQ39eESytbKVRTe__9ykrz7XJxv7i1D_gEy4eMPQ</recordid><startdate>201308</startdate><enddate>201308</enddate><creator>Bao, Yu-Shi</creator><creator>Song, Li-Ting</creator><creator>Zhong, Di</creator><creator>Song, A-Xia</creator><creator>Jia, Xi-Bei</creator><creator>Liu, Rui-Chan</creator><creator>Xie, Ru-Juan</creator><creator>Na, Shi-Ping</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201308</creationdate><title>Epidemiology and risk factors for chronic kidney disease in patients with ischaemic stroke</title><author>Bao, Yu-Shi ; Song, Li-Ting ; Zhong, Di ; Song, A-Xia ; Jia, Xi-Bei ; Liu, Rui-Chan ; Xie, Ru-Juan ; Na, Shi-Ping</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3633-f13b958b8e2236b330d83187a19bf8b4c8ce99e47817c9367fb5fc3291b2707a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>China - epidemiology</topic><topic>Chronic kidney disease</topic><topic>Diabetic Nephropathies - complications</topic><topic>Diabetic Nephropathies - epidemiology</topic><topic>epidemiology</topic><topic>Female</topic><topic>Glomerular Filtration Rate - physiology</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Hypertension - epidemiology</topic><topic>ischaemic stroke</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Regression Analysis</topic><topic>Renal Insufficiency, Chronic - complications</topic><topic>Renal Insufficiency, Chronic - epidemiology</topic><topic>Renal Insufficiency, Chronic - physiopathology</topic><topic>Retrospective Studies</topic><topic>risk factor</topic><topic>Risk Factors</topic><topic>Stroke - complications</topic><topic>Stroke - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bao, Yu-Shi</creatorcontrib><creatorcontrib>Song, Li-Ting</creatorcontrib><creatorcontrib>Zhong, Di</creatorcontrib><creatorcontrib>Song, A-Xia</creatorcontrib><creatorcontrib>Jia, Xi-Bei</creatorcontrib><creatorcontrib>Liu, Rui-Chan</creatorcontrib><creatorcontrib>Xie, Ru-Juan</creatorcontrib><creatorcontrib>Na, Shi-Ping</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of clinical investigation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bao, Yu-Shi</au><au>Song, Li-Ting</au><au>Zhong, Di</au><au>Song, A-Xia</au><au>Jia, Xi-Bei</au><au>Liu, Rui-Chan</au><au>Xie, Ru-Juan</au><au>Na, Shi-Ping</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology and risk factors for chronic kidney disease in patients with ischaemic stroke</atitle><jtitle>European journal of clinical investigation</jtitle><addtitle>Eur J Clin Invest</addtitle><date>2013-08</date><risdate>2013</risdate><volume>43</volume><issue>8</issue><spage>829</spage><epage>835</epage><pages>829-835</pages><issn>0014-2972</issn><eissn>1365-2362</eissn><abstract>Background
There is growing evidence for an association between chronic renal disease (CKD) and adverse cerebrovascular events because of the overlap of several risk factors. The purpose of this study is to examine the epidemiology of CKD and the characteristics of risk factors for CKD in the population with ischaemic stroke.
Methods
This retrospective study included 571 patients with ischaemic stroke. Estimated glomerular filtration rate (eGFR) was calculated by the Modification of Diet in Renal Disease (MDRD) study equation. Renal function was assessed according to the Kidney Disease Outcomes Quality Initiative (K/DOQI)‐CKD classification.
Results
Study demonstrated that the major factors associated with CKD in the ischaemic stroke patients were age, diabetes mellitus, hypertension, systolic blood pressure, LDL cholesterol and serum uric acid. Diabetes mellitus (OR 4·146, 95% CI 1·047–16·418, P = 0·043), hypertension and diabetes mellitus (OR 3·574, 95% CI 1·248–10·234, P = 0·018), serum uric acid (OR 1·010, 95% CI 1·006–1·013, P < 0·001) and LDL cholesterol (OR 1·431, 95% CI 1·063–1·928, P = 0·018) were independent risk factors associated with CKD in the patients with ischaemic stroke.
Conclusions
The patients with ischaemic stroke may be considered as a high‐risk population for CKD and be aggressively managed for CKD prevention. The high prevalence of CKD in population with ischaemic stroke prompts the need for greater public awareness about risks of CKD.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>23869408</pmid><doi>10.1111/eci.12113</doi><tpages>7</tpages></addata></record> |
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| ispartof | European journal of clinical investigation, 2013-08, Vol.43 (8), p.829-835 |
| issn | 0014-2972 1365-2362 |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | China - epidemiology Chronic kidney disease Diabetic Nephropathies - complications Diabetic Nephropathies - epidemiology epidemiology Female Glomerular Filtration Rate - physiology Humans Hypertension - complications Hypertension - epidemiology ischaemic stroke Male Middle Aged Regression Analysis Renal Insufficiency, Chronic - complications Renal Insufficiency, Chronic - epidemiology Renal Insufficiency, Chronic - physiopathology Retrospective Studies risk factor Risk Factors Stroke - complications Stroke - epidemiology |
| title | Epidemiology and risk factors for chronic kidney disease in patients with ischaemic stroke |
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