1. Temporal Trends in the Outcomes of Dialysis Patients Admitted With Acute Ischemic Stroke
- Author
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Anas Diab, Mohamad Alkhouli, Muhammad Alvi, Chalak Berzingi, Sami Aljohani, Khaled Boobes, Mohamed Al Hajji, and Fahad Alqahtani
- Subjects
Adult ,Male ,medicine.medical_specialty ,Time Factors ,Adolescent ,Databases, Factual ,Health Status ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Dialysis patients ,Brain Ischemia ,End stage renal disease ,Young Adult ,03 medical and health sciences ,Patient Admission ,0302 clinical medicine ,Renal Dialysis ,Risk Factors ,Prevalence ,ischemic stroke ,medicine ,Humans ,In patient ,Hospital Mortality ,Hospital Costs ,end stage renal disease ,Acute ischemic stroke ,Dialysis ,Aged ,Original Research ,Aged, 80 and over ,Inpatients ,business.industry ,Incidence ,Length of Stay ,Middle Aged ,United States ,Stroke ,Treatment Outcome ,Emergency medicine ,Ischemic stroke ,Kidney Failure, Chronic ,dialysis ,Female ,Cardiology and Cardiovascular Medicine ,business ,030217 neurology & neurosurgery - Abstract
Background There is a paucity of contemporary data on the characteristics and outcomes of acute ischemic stroke ( AIS ) in patients on maintenance dialysis. Methods and Results We used the nationwide inpatient sample to examine contemporary trends in the incidence, management patterns, and outcomes of AIS in dialysis patients. A total of 930 010 patients were admitted with AIS between 2003 and 2014, of whom 13 642 (1.5%) were on dialysis. Overall, the incidence of AIS among dialysis patients decreased significantly ( P trend P trend =0.78). Compared with non‐dialysis patients, those on dialysis were younger (67±13 years versus 71±15 years, P AIS compared with 16.7% of patients in the non‐dialysis group ( P P P trend Conclusions Dialysis patients have 8‐folds higher incidence of AIS compared withnon‐dialysis patients. They also have higher risk‐adjusted in‐hospital mortality, sepsis and blood transfusion, longer hospitalizations, and higher cost. There is a need to identify preventative strategies to reduce the risk of AIS in the dialysis population.
- Published
- 2018
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