Increased risk of mortality among haemodialysis patients with or without prior stroke: A nationwide population-based study in Taiwan.

Increased risk of mortality among haemodialysis patients with or without prior stroke: A nationwide population-based study in Taiwan. Indian J Med Res. 2013 Aug;138(2):232-8 Authors: Chien CC, Sun YM, Wang JJ, Chu CC, Lu CL, Wang SF, Hwang JC, Wang HY, Kan WC, Lu YH, Chen HA, Chio CC, Lin KC, Wu CC Abstract Background & objectives: Patients with prior stroke (PS) undergoing chronic dialysis are at a high risk of mortality. However, little is known about the cumulative risk and survival rate of dialysis patients with long-term follow up. The aim of this study was to assess risks for mortality between patients with and without PS undergoing chronic haemodialysis (HD). Methods: The Taiwan National Health Insurance Research Database (NHRI-NHIRD-99182) was used and all adult patients (≥18 yr) with end stage renal disease (ESRD) who started maintenance HD between January 1, 1999, and December 31, 1999, were selected. The patients were followed from the first reported date of HD to the date of death, end of dialysis or December 31, 2008. A Cox's proportional hazard model was applied to identify the risk factors for all-cause mortality. Results: Among 5672 HD patients, 650 patients (11.5%) had PS. A higher proportion of stroke history at baseline was found in men (52.8%) and those aged ≥ 55 yr (80.9%). After adjusting for age, sex and other covariates, the patients with PS were found to have a 36 per cent increased risk of mortality compared t...
Source: Indian J Med Res - Category: Research Authors: Tags: Indian J Med Res Source Type: research