Renal function is associated with 1-month and 1-year mortality in patients with ischemic stroke
Journal
Atherosclerosis
Journal Volume
269
Pages
288-293
Date Issued
2018
Author(s)
Liu C.-H.
Yen T.-H.
Sung S.-F.
Huang P.-H.
Li J.-Y.
Sun Y.
Wei C.-Y.
Lien L.-M.
Tsai I.-J.
Sung F.-C.
Hsu C.Y.
Liu C.-H.
Tsai C.-H.
Huang W.-S.
Lu C.-T.
Tsai T.-C.
Tseng C.-H.
Lin K.-H.
Shyu W.-C.
Yang Y.-W.
Liu Y.-L.
Cho D.-Y.
Chen C.-C.
Tsai H.-H.
Chen H.-J.
Lu K.
Hsu S.-P.
Kuo H.-C.
Tsou J.-C.
Wang Y.-T.
Tai Y.-C.
Hsieh M.-T.
Liliang P.-C.
Liang C.-L.
Wang H.-K.
Tsai Y.-T.
Wang K.-W.
Chen J.-S.
Chen P.-Y.
Wang Y.-C.
Sung P.-S.
Hsieh H.-C.
Su H.-C.
Chiu H.-C.
Chen W.-H.
Bai C.-H.
Huang T.-H.
Lau C.-I.
Wu Y.-Y.
Yeh H.-L.
Chang A.
Lin C.-H.
Yen C.-C.
Lin R.-T.
Khor G.-T.
Chao A.-C.
Lin H.-F.
Huang P.
Lin H.-J.
Ke D.-S.
Chang C.-Y.
Yeh P.-S.
Lin K.-C.
Cheng T.-J.
Chou C.-H.
Yang C.-M.
Shen H.-C.
Chen A.-C.
Tsai S.-J.
Lu T.-M.
Kung S.-L.
Lee M.-J.
Chou H.-H.
Chang W.-L.
Chiu P.-Y.
Hsu M.-H.
Chan P.-C.
Pan C.-H.
Shoung H.-M.
Lo Y.-C.
Wang F.-H.
Chang W.-C.
Lai T.-C.
Yin J.-H.
Wang C.-J.
Wang K.-C.
Chen L.-M.
Denq J.-C.
Lu C.-J.
Huang C.-C.
Chan H.-F.
Lee S.-P.
Sun M.-H.
Ke L.-Y.
Chen P.-L.
Lee Y.-S.
Ong C.-T.
Wu C.-S.
Hsu Y.-C.
Su Y.-H.
Hung L.-C.
Lee J.-T.
Lin J.-C.
Hsu Y.-D.
Peng G.-S.
Hsu C.-H.
Lin C.-C.
Yen C.-H.
Cheng C.-A.
Sung Y.-F.
Chen Y.-L.
Lien M.-T.
Liu C.-C.
Yang F.-C.
Wu Y.-C.
Tso A.-C.
Lai Y.-H.
Chiang C.-I.
Tsai C.-K.
Liu M.-T.
Lin Y.-C.
Chiang T.-R.
Liao P.-W.
Lee M.-C.
Chen J.-T.
Lie S.-K.
Sun M.-C.
Hsiao P.-J.
Chen W.-L.
Chen T.-C.
Chang C.-S.
Lai C.-H.
Chuang C.-S.
Chen Y.-Y.
Lin S.-K.
Su Y.-C.
Shiao J.-L.
Yang F.-Y.
Liu C.-Y.
Chiang H.-L.
Chen G.-C.
Hsu P.-J.
Lin I.-S.
Chien C.-H.
Chang Y.-C.
Chen P.-K.
Hsiao Y.-J.
Fang C.-W.
Chen Y.-W.
Lee K.-Y.
Lin Y.-Y.
Li C.-H.
Tsai H.-F.
Hsieh C.-F.
Yang C.-D.
Liaw S.-J.
Liao H.-C.
Wu L.-L.
Hsieh L.-P.
Lee Y.-H.
Chen C.-W.
Hsu C.-S.
Jhih Y.-J.
Zhuang H.-Y.
Pan Y.-H.
Shih S.-A.
Chen C.-I.
Sung J.-Y.
Weng H.-Y.
Teng H.-W.
Lee J.-E.
Huang C.-S.
Chao S.-P.
Yuan R.-Y.
Sheu J.-J.
Yu J.-M.
Ho C.-S.
Lin T.-C.
Yu S.-C.
Chen J.-R.
Tsai S.-Y.
Wei C.-Y.
Hung C.-H.
Lee C.F.
Yang S.-K.
Chen C.-L.
Lin W.
Tseng H.-P.
Lin C.-L.
Lin H.-C.
Chen P.-T.
Hu C.-J.
Chan L.
Chi N.-F.
Chern C.-M.
Lin C.-J.
Wang S.-J.
Hsu L.-C.
Wong W.-J.
Lee I.-H.
Yen D.-J.
Tsai C.-P.
Kwan S.-Y.
Soong B.-W.
Chen S.-P.
Liao K.-K.
Lin K.-P.
Chen C.
Shan D.-E.
Fuh J.-L.
Wang P.-N.
Lee Y.-C.
Yu Y.-H.
Huang H.-C.
Tsai J.-Y.
Wu M.-H.
Chiang S.-Y.
Wang C.-Y.
Hsu M.-C.
Yeh P.-Y.
Wang K.-Y.
Chen T.-S.
Hsieh C.-Y.
Chen W.-F.
Yip P.-K.
Wang V.
Tsai C.-F.
Chen C.-C.
Liu Y.-C.
Chen S.-Y.
Zhao Z.-H.
Wei Z.-P.
Wu S.-L.
Liu C.-K.
Lin R.-H.
Chu C.-H.
Yan S.-H.
Hsiao S.-H.
Yip B.-S.
Tsai P.-C.
Chou P.-C.
Kuo T.-M.
Chiu Y.-P.
Tsai K.-C.
Liao Y.-S.
Tsai M.-J.
Kao H.-Y.
Abstract
Background and aims: Renal dysfunction is a potent risk factor for cardiovascular diseases, including stroke. This study aimed to evaluate the impact of admission estimated glomerular filtration rate (eGFR) levels on short-term (1-month) and long-term (1-year) mortality in patients with acute ischemic stroke. Methods: From the Taiwan Stroke Registry data, we classified ischemic stroke patients, identified from April 2006 to December 2015, into 5 groups by eGFR at admission: ? 90, 60–89, 30–59, 15–29, and <15 mL/min/1.73 m2 or on dialysis. Risks of 1-month mortality and 1-year mortality after ischemic stroke were investigated by the eGFR level. Results: Among 52,732 ischemic stroke patients, 1480 died within one month. The 1-month mortality rate was over 5-fold greater in patients with eGFR <15 mL/min/1.73 m2 or dialysis than in patients with eGFR ?90 mL/min/1.73 m2 (2.88 versus 0.56 per 1000 person-days). The adjusted hazard ratio (HR) of 1-month mortality increased from 1.31 (95% CI = 1.08–1.59) for patients with eGFR 60–89 mL/min/1.73 m2 to 2.33 (95% CI = 1.80–3.02) for patients with eGFR < 15 mL/min/1.73 m2 or on dialysis. 3226 patients died within one year. The adjusted HR of mortality increased from 1.38 (95% CI = 1.21–1.59) for patients with eGFR 60–89 mL/min/1.73 m2 to 2.60 (95% CI 2.18–3.10) for patients with eGFR < 15 mL/min/1.73 m2 or on dialysis, compared to patients with eGFR ? 90 mL/min/1.73 m2. Conclusions: After acute ischemic stroke, patients with reduced eGFR are at elevated risks of short-term and long-term deaths in a graded relationship. ? 2017 Elsevier B.V.
SDGs
Other Subjects
cholesterol; hemoglobin; adult; aged; Article; atrial fibrillation; blood pressure; body mass; brain ischemia; chronic kidney failure; congestive cardiomyopathy; diabetes mellitus; estimated glomerular filtration rate; female; hazard ratio; hemodialysis; hospital admission; human; ischemic heart disease; major clinical study; male; mortality; priority journal; smoking; survival rate; Taiwan; very elderly; adolescent; brain ischemia; cerebrovascular accident; clinical trial; epidemiology; glomerulus filtration rate; kidney; kidney disease; middle aged; multicenter study; pathophysiology; prognosis; register; retrospective study; risk assessment; risk factor; time factor; young adult; Adolescent; Adult; Aged; Aged, 80 and over; Brain Ischemia; Female; Glomerular Filtration Rate; Humans; Kidney; Kidney Diseases; Male; Middle Aged; Prognosis; Registries; Retrospective Studies; Risk Assessment; Risk Factors; Stroke; Taiwan; Time Factors; Young Adult
Type
journal article