지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 99 - 108 (10page)
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초록· 키워드
오류제보하기
Background: The number of patients requiring dialysis is increasing worldwide, and the atrial fibrillation and atrial flutter (AF) prevalence among hemodialysis (HD) patients is higher than in the general population. There have been no studies of Korean AF patients undergoing HD that investigated how AF affects outcomes, such as all-cause mortality, hospitalization, and stroke events. We conducted a large-scale retrospective cohort study with data from the National Health Insurance System to determine how AF affects these outcomes. Methods: In 2013, the Health Insurance Review and Assessment service, a Korean national health insurance scheme, collected data from 21,839 HD patients to evaluate the adequacy of dialysis centers. All-cause mortality, hospitalization, and stroke events were compared between patients with and without AF. Sub-analyses compared these outcomes between AF patients receiving warfarin and those not receiving warfarin. Results: Cox regression analysis found that AF was a significant risk factor for death from any cause (hazard ratio [HR], 1.356; 95% confidence interval [CI], 1.222–1.506; p < 0.001), hospitalization (HR, 1.323; 95% CI, 1.225–1.430; p < 0.001), and hemorrhagic stroke (HR, 1.500; 95% CI, 1.050–2.141; p = 0.026). AF was not significantly associated with an increased risk of ischemic stroke. The use of warfarin was significantly associated with hemorrhagic stroke incidence (HR, 1.593; 95% CI, 1.075–2.360; p = 0.020), while there was no significant correlation between warfarin treatment and all-cause mortality, hospitalization, and ischemic stroke. Conclusion: This cohort study of Korean dialysis patients showed that AF was a risk factor for multiple outcomes among HD patients.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Königsbrügge O / 2017 / Prevalence of atrial fibrillation and antithrombotic therapy in hemodialysis patients : cross-sectional results of the Vienna In-Vestigation of AtriaL Fibrillation and Thromboembolism in Patients on HemoDIalysis(VIVALDI) / PLoS One 12:e0169400
Ball J / 2013 / Atrial fibrillation : profile and burden of an evolving epidemic in the 21st century / Int J Cardiol 167:1807~1824
Saran R / 2017 / US renal data system 2016 annual data report : epidemiology of kidney disease in the United States / Am J Kidney Dis 69(3 Suppl 1):A7~A8
Goldstein BA / 2012 / Trends in the incidence of atrial fibrillation in older patients initiating dialysis in the United States / Circulation 126:2293~2301
Falk RH / 1998 / Etiology and complications of atrial fibrillation : insights from pathology studies / Am J Cardiol 82:10N~17N
Ball J / 2013 / Atrial fibrillation : profile and burden of an evolving epidemic in the 21st century / Int J Cardiol 167:1807~1824
Saran R / 2017 / US renal data system 2016 annual data report : epidemiology of kidney disease in the United States / Am J Kidney Dis 69(3 Suppl 1):A7~A8
Goldstein BA / 2012 / Trends in the incidence of atrial fibrillation in older patients initiating dialysis in the United States / Circulation 126:2293~2301
Falk RH / 1998 / Etiology and complications of atrial fibrillation : insights from pathology studies / Am J Cardiol 82:10N~17N
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