View : 1285 Download: 403
Dementia is a risk factor for major adverse cardiac and cerebrovascular events in elderly Korean patients initiating hemodialysis: a Korean national population-based study
- Title
- Dementia is a risk factor for major adverse cardiac and cerebrovascular events in elderly Korean patients initiating hemodialysis: a Korean national population-based study
- Authors
- Jung, Sung Min; Kim, Clara Tammy; Kang, Ea Wha; Kim, Kyoung Hoon; Lee, Shina; Oh, Hyung Jung; Kim, Seung-Jung; Kang, Duk-Hee; Choi, Kyu Bok; Ryu, Dong-Ryeol; Kim, Hyunwook
- Ewha Authors
- 정성민; 강덕희; 최규복; 김승정; 류동열; 이신아; 오형중
- SCOPUS Author ID
- 정성민; 강덕희; 최규복; 김승정; 류동열; 이신아; 오형중
- Issue Date
- 2017
- Journal Title
- BMC NEPHROLOGY
- ISSN
- 1471-2369
- Citation
- BMC NEPHROLOGY vol. 18
- Keywords
- Dementia; Hemodialysis; Mortality; Ischemic stroke
- Publisher
- BIOMED CENTRAL LTD
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Background: Dementia is common in end-stage renal disease (ESRD) patients on hemodialysis (HD) and is associated with worse outcomes. This study aimed to investigate the risk of major adverse cardiac and cerebrovascular event (MACCE) in elderly patients with dementia initiating HD. Methods: Using the database from the Health Insurance Review & Assessment Service, we analyzed 10,171 patients aged 65 years or older who had initiated dialysis from 2005 to 2008. MACCE was defined as a composite outcome of all-cause mortality, nonfatal acute myocardial infarction, target vessel revascularization, and nonfatal ischemic and hemorrhagic stroke. The Kaplan-Meier method and Cox proportional hazards model were used, and further comparisons using propensity-score matching at 1: 2 ratio were also performed. Results: A total of 303 elderly patients (3.0%) had dementia at initiating HD. During follow-up, dementia was a significant predictor of MACCE after adjustment for confounding variables. In addition, further analyzed in the propensity-score matched groups, dementia was an independent predictor of both nonfatal ischemic stroke and all-cause mortality. Conclusions: Dementia is an independent risk factor for mortality and ischemic stroke in elderly ESRD patients initiating HD. Patients with dementia who start dialysis should be closely monitored to reduce the risk of mortality and ischemic stroke.
- DOI
- 10.1186/s12882-017-0547-0
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
- Files in This Item:
-
Dementia is a risk factor for major adverse.pdf(632.81 kB)
Download
- Export
- RIS (EndNote)
- XLS (Excel)
- XML