JACC:慢性肾脏疾病患者的心衰住院风险研究

2019-05-31 不详 MedSci原创

目前,对于慢性肾脏疾病(CKD)相关的心衰住院率、重复住院率和心衰住院预后尚不清楚。本研究纳入分析了CRIC临床试验中的3791名CKD患者,心衰的住院率是5.8/100人年,与心衰伴射血分数降低患者相比,心衰伴保留型射血分数的患者住院率更高。调整后的心衰发生率在eGFR更低的患者的中更高。相似的,心衰的住院风险在尿白蛋白与肌酐比值更高的患者中更高。总体来看,有20.6%的患者在30天内右心衰的再

目前,对于慢性肾脏疾病(CKD)相关的心衰住院率、重复住院率和心衰住院预后尚不清楚。


本研究纳入分析了CRIC临床试验中的3791名CKD患者,心衰的住院率是5.8/100人年,与心衰伴射血分数降低患者相比,心衰伴保留型射血分数的患者住院率更高。调整后的心衰发生率在eGFR更低的患者的中更高。相似的,心衰的住院风险在尿白蛋白与肌酐比值更高的患者中更高。总体来看,有20.6%的患者在30天内右心衰的再入院风险。2年内的心衰住院与CKD进展和死亡率增加呈相关性。


研究结果显示,在慢性肾脏疾病患者中,心衰的住院风险和再住院风险较高,且有心衰住院的CKD患者死亡的风险更高


原始出处:

Nisha B et al.Burden and Outcomes of Heart Failure Hospitalizations in Adults With Chronic Kidney Disease.JACC.2019 May.


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    2020-02-24 hbwxf
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    2019-06-02 爆笑小医
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