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Titolo:
An analysis of cardiac mortality in patients with new-onset end-stage renal disease in New York State
Autore:
Wallen, MD; Radhakrishnan, J; Appel, G; Hodgson, ME; Pablos-Mendez, A;
Indirizzi:
Columbia Univ, Sch Publ Hlth, Div Epidemiol, New York, NY USA Columbia Univ New York NY USA Publ Hlth, Div Epidemiol, New York, NY USA Columbia Univ Coll Phys & Surg, New York, NY 10032 USA Columbia Univ Coll Phys & Surg New York NY USA 10032 w York, NY 10032 USA NYU, Med Ctr, New York, NY 10016 USA NYU New York NY USA 10016NYU, Med Ctr, New York, NY 10016 USA
Titolo Testata:
CLINICAL NEPHROLOGY
fascicolo: 2, volume: 55, anno: 2001,
pagine: 101 - 108
SICI:
0301-0430(200102)55:2<101:AAOCMI>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIALYSIS PATIENTS; RISK-FACTORS; CARDIOVASCULAR-DISEASE; CHRONIC UREMIA; MORBIDITY; FAILURE; DEATH; HEMODIALYSIS; HYPERTENSION; IMPACT;
Keywords:
cardiovascular mortality; end-stage renal disease; mortality; cardiovascular risk; New York State USRDS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Radhakrishnan, J Columbia Presbyterian Med Ctr, PH4124,622 W 168th St, NewYork, NY 10032 USA Columbia Presbyterian Med Ctr PH4124,622 W 168th St NewYork NY USA 10032
Citazione:
M.D. Wallen et al., "An analysis of cardiac mortality in patients with new-onset end-stage renal disease in New York State", CLIN NEPHR, 55(2), 2001, pp. 101-108

Abstract

End-stage renal disease (ESRD) is associated with an overall one-year mortality of 23.5% in the US, of which cardiac causes constitute 50% of all deaths' Data on incident ESRD patients were obtained from the Health Care Financing Administration's 2728 and 2746 forms by special request from the ESRDNetwork of New York. 4948 ESRD patients, who started dialysis in New York State from April 1, 1995, through April 1, 1996, were assessed to identify risk factors present at the initiation of dialysis that predict cardiac death. 899 deaths were registered during the 19-month-follow-up period, 50% ofwhich were from cardiac causes. Using the Cox-proportional hazards model, the increasing age category, white race, the presence of one or more vascular co-morbid conditions, and the presence of diabetes and one or more cardiac co-morbid conditions significantly predicted cardiac death (p < 0.05). Diabetes increased the risk for cardiac death by 48% for those patients without any cardiac co-morbidities (RR = 1.48, p < 0.0082). In contrast with results observed in the general population, gender, serum albumin and body mass index were not significant predictors of cardiac death. In identifying risk factors present at the initiation of dialysis that predict cardiac death, this study highlights factors that may be modified prior to dialysis initiation in order to improve life expectancy and mortality rates and decrease health care costs for the ESRD population.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 21:36:47