Risk of stroke in elderly dialysis patients

Seung Seok Han, Dong Ryeol Ryu, Kwon Wook Joo, Chun Soo Lim, Yong Lim Kim, Shin Wook Kang, Yon Su Kim, Dong Ki Kim

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Despite the current knowledge about the risk of stroke and its related factors in general population, this issue in elderly patients receiving dialysis remains unresolved. Firstly, to compare the risk of stroke between hemodialysis (HD) and peritoneal dialysis (PD), data on 13,065 incident dialysis patients (aged ≥ 65 years; 10,675 in HD and 2,390 in PD) were retrieved from the Korean Health Insurance dataset. Secondly, to identify the risk factors of stroke amongst various clinical and laboratory parameters in HD, 980 elderly patients were retrospectively analyzed using an independent prospective cohort from 31 dialysis centers. For a mean duration of 1.8 years (maximum of 5 years), the risk of all cardiovascular diseases (ischemic heart disease and stroke) did not differ between HD and PD. However, when analyses were conducted separately by subtype, the risk of stroke, not ischemic heart disease, was significantly higher in HD patients than in PD patients. When the risk factors of stroke were probed after HD for a mean duration of 2.6 years (maximum of 7 years), the absolute dependence on social support, a previous history of cardiovascular disease, high levels of low-density lipoprotein cholesterol, and the use of a high number of anti-hypertensive drugs were identified as being significant. Based on the discrepancy of stroke risk between modalities and the HD-tailored risk factors of stroke, the monitoring and management of these factors may be a key strategy to reduce the risk of stroke in elderly patients receiving dialysis.

Original languageEnglish
Pages (from-to)1460-1467
Number of pages8
JournalJournal of Korean medical science
Volume32
Issue number9
DOIs
Publication statusPublished - 2017 Sep 1

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Dialysis
Stroke
Renal Dialysis
Peritoneal Dialysis
Myocardial Ischemia
Cardiovascular Diseases
Risk Management
Health Insurance
Social Support
LDL Cholesterol
Antihypertensive Agents
Population

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Han, S. S., Ryu, D. R., Joo, K. W., Lim, C. S., Kim, Y. L., Kang, S. W., ... Kim, D. K. (2017). Risk of stroke in elderly dialysis patients. Journal of Korean medical science, 32(9), 1460-1467. https://doi.org/10.3346/jkms.2017.32.9.1460
Han, Seung Seok ; Ryu, Dong Ryeol ; Joo, Kwon Wook ; Lim, Chun Soo ; Kim, Yong Lim ; Kang, Shin Wook ; Kim, Yon Su ; Kim, Dong Ki. / Risk of stroke in elderly dialysis patients. In: Journal of Korean medical science. 2017 ; Vol. 32, No. 9. pp. 1460-1467.
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Han, SS, Ryu, DR, Joo, KW, Lim, CS, Kim, YL, Kang, SW, Kim, YS & Kim, DK 2017, 'Risk of stroke in elderly dialysis patients', Journal of Korean medical science, vol. 32, no. 9, pp. 1460-1467. https://doi.org/10.3346/jkms.2017.32.9.1460

Risk of stroke in elderly dialysis patients. / Han, Seung Seok; Ryu, Dong Ryeol; Joo, Kwon Wook; Lim, Chun Soo; Kim, Yong Lim; Kang, Shin Wook; Kim, Yon Su; Kim, Dong Ki.

In: Journal of Korean medical science, Vol. 32, No. 9, 01.09.2017, p. 1460-1467.

Research output: Contribution to journalArticle

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