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Prevalence of renal dysfunction in ischaemic stroke and transient ischaemic attack patients with or without atrial fibrillation

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Prevalence of renal dysfunction in ischaemic stroke and transient ischaemic attack patients with or without atrial fibrillation. / Laible, M; Horstmann, S; Rizos, T; Rauch, G; Zorn, M; Veltkamp, R.

in: EUR J NEUROL, Jahrgang 22, Nr. 1, 01.2015, S. 64-9, e4-5.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Laible, M, Horstmann, S, Rizos, T, Rauch, G, Zorn, M & Veltkamp, R 2015, 'Prevalence of renal dysfunction in ischaemic stroke and transient ischaemic attack patients with or without atrial fibrillation', EUR J NEUROL, Jg. 22, Nr. 1, S. 64-9, e4-5. https://doi.org/10.1111/ene.12528

APA

Laible, M., Horstmann, S., Rizos, T., Rauch, G., Zorn, M., & Veltkamp, R. (2015). Prevalence of renal dysfunction in ischaemic stroke and transient ischaemic attack patients with or without atrial fibrillation. EUR J NEUROL, 22(1), 64-9, e4-5. https://doi.org/10.1111/ene.12528

Vancouver

Laible M, Horstmann S, Rizos T, Rauch G, Zorn M, Veltkamp R. Prevalence of renal dysfunction in ischaemic stroke and transient ischaemic attack patients with or without atrial fibrillation. EUR J NEUROL. 2015 Jan;22(1):64-9, e4-5. https://doi.org/10.1111/ene.12528

Bibtex

@article{5a965775c28443ea8df20185ba58e8c3,
title = "Prevalence of renal dysfunction in ischaemic stroke and transient ischaemic attack patients with or without atrial fibrillation",
abstract = "BACKGROUND AND PURPOSE: Chronic kidney disease (CKD) is associated with a higher risk of stroke and atrial fibrillation (AF). There are limited data on the comorbidity of renal dysfunction and AF in stroke patients. Our aim was to determine the frequency of kidney dysfunction in ischaemic stroke patients with and without AF.METHODS: In a prospectively collected, single center cohort of acute ischaemic stroke and transient ischaemic attack (TIA) patients, glomerular filtration rate (eGFR) was estimated using the Modification of Diet in Renal Disease equation on admission. Renal function was graded into five categories (cat.): cat. 1, eGRF ≥90 ml/min/1.73 m(2); cat. 2, 60-89; cat. 3, 30-59; cat. 4, 15-29; cat. 5, <15. The diagnosis of AF was based on medical history, a 12-lead electrocardiogram (ECG) and 24-h Holter or continuous ECG monitoring.RESULTS: In total, 2274 patients (1727 stroke, 547 TIA; median age 71.0) were included. Median eGFR was 78.6 ml/min/1.73 m(2) (interquartile range 61/95); 21.1% were in cat. 3, 2.1% in cat. 4, 0.7% in cat. 5. In all, 535 patients (23.5%) suffered from AF; 28.0% of these were in cat. 3, 2.6% and 0.8% in cat. 4 and cat. 5, respectively. In multivariable analysis, age [odds ratio (OR) 1.1], diabetes (OR 1.8), heart failure (OR 1.7) and AF (OR 1.4) were independently associated with kidney dysfunction (eGFR < 60).CONCLUSIONS: Renal dysfunction is far more common in stroke patients than in the general population and more common in AF-related stroke. These findings may have implications for the choice of anticoagulants.",
keywords = "Aged, Aged, 80 and over, Atrial Fibrillation, Brain Ischemia, Cohort Studies, Comorbidity, Electrocardiography, Female, Germany, Glomerular Filtration Rate, Humans, Ischemic Attack, Transient, Kidney Diseases, Male, Middle Aged, Prevalence, Registries, Stroke, Journal Article, Observational Study",
author = "M Laible and S Horstmann and T Rizos and G Rauch and M Zorn and R Veltkamp",
note = "{\textcopyright} 2014 EAN.",
year = "2015",
month = jan,
doi = "10.1111/ene.12528",
language = "English",
volume = "22",
pages = "64--9, e4--5",
journal = "EUR J NEUROL",
issn = "1351-5101",
publisher = "Wiley-Blackwell",
number = "1",

}

RIS

TY - JOUR

T1 - Prevalence of renal dysfunction in ischaemic stroke and transient ischaemic attack patients with or without atrial fibrillation

AU - Laible, M

AU - Horstmann, S

AU - Rizos, T

AU - Rauch, G

AU - Zorn, M

AU - Veltkamp, R

N1 - © 2014 EAN.

PY - 2015/1

Y1 - 2015/1

N2 - BACKGROUND AND PURPOSE: Chronic kidney disease (CKD) is associated with a higher risk of stroke and atrial fibrillation (AF). There are limited data on the comorbidity of renal dysfunction and AF in stroke patients. Our aim was to determine the frequency of kidney dysfunction in ischaemic stroke patients with and without AF.METHODS: In a prospectively collected, single center cohort of acute ischaemic stroke and transient ischaemic attack (TIA) patients, glomerular filtration rate (eGFR) was estimated using the Modification of Diet in Renal Disease equation on admission. Renal function was graded into five categories (cat.): cat. 1, eGRF ≥90 ml/min/1.73 m(2); cat. 2, 60-89; cat. 3, 30-59; cat. 4, 15-29; cat. 5, <15. The diagnosis of AF was based on medical history, a 12-lead electrocardiogram (ECG) and 24-h Holter or continuous ECG monitoring.RESULTS: In total, 2274 patients (1727 stroke, 547 TIA; median age 71.0) were included. Median eGFR was 78.6 ml/min/1.73 m(2) (interquartile range 61/95); 21.1% were in cat. 3, 2.1% in cat. 4, 0.7% in cat. 5. In all, 535 patients (23.5%) suffered from AF; 28.0% of these were in cat. 3, 2.6% and 0.8% in cat. 4 and cat. 5, respectively. In multivariable analysis, age [odds ratio (OR) 1.1], diabetes (OR 1.8), heart failure (OR 1.7) and AF (OR 1.4) were independently associated with kidney dysfunction (eGFR < 60).CONCLUSIONS: Renal dysfunction is far more common in stroke patients than in the general population and more common in AF-related stroke. These findings may have implications for the choice of anticoagulants.

AB - BACKGROUND AND PURPOSE: Chronic kidney disease (CKD) is associated with a higher risk of stroke and atrial fibrillation (AF). There are limited data on the comorbidity of renal dysfunction and AF in stroke patients. Our aim was to determine the frequency of kidney dysfunction in ischaemic stroke patients with and without AF.METHODS: In a prospectively collected, single center cohort of acute ischaemic stroke and transient ischaemic attack (TIA) patients, glomerular filtration rate (eGFR) was estimated using the Modification of Diet in Renal Disease equation on admission. Renal function was graded into five categories (cat.): cat. 1, eGRF ≥90 ml/min/1.73 m(2); cat. 2, 60-89; cat. 3, 30-59; cat. 4, 15-29; cat. 5, <15. The diagnosis of AF was based on medical history, a 12-lead electrocardiogram (ECG) and 24-h Holter or continuous ECG monitoring.RESULTS: In total, 2274 patients (1727 stroke, 547 TIA; median age 71.0) were included. Median eGFR was 78.6 ml/min/1.73 m(2) (interquartile range 61/95); 21.1% were in cat. 3, 2.1% in cat. 4, 0.7% in cat. 5. In all, 535 patients (23.5%) suffered from AF; 28.0% of these were in cat. 3, 2.6% and 0.8% in cat. 4 and cat. 5, respectively. In multivariable analysis, age [odds ratio (OR) 1.1], diabetes (OR 1.8), heart failure (OR 1.7) and AF (OR 1.4) were independently associated with kidney dysfunction (eGFR < 60).CONCLUSIONS: Renal dysfunction is far more common in stroke patients than in the general population and more common in AF-related stroke. These findings may have implications for the choice of anticoagulants.

KW - Aged

KW - Aged, 80 and over

KW - Atrial Fibrillation

KW - Brain Ischemia

KW - Cohort Studies

KW - Comorbidity

KW - Electrocardiography

KW - Female

KW - Germany

KW - Glomerular Filtration Rate

KW - Humans

KW - Ischemic Attack, Transient

KW - Kidney Diseases

KW - Male

KW - Middle Aged

KW - Prevalence

KW - Registries

KW - Stroke

KW - Journal Article

KW - Observational Study

U2 - 10.1111/ene.12528

DO - 10.1111/ene.12528

M3 - SCORING: Journal article

C2 - 25091540

VL - 22

SP - 64-9, e4-5

JO - EUR J NEUROL

JF - EUR J NEUROL

SN - 1351-5101

IS - 1

ER -