Renal dysfunction is associated with lower odds of home discharge for patients with stroke.

Autor:	Wang IK; Graduate Institute Of Biological Sciences, College Of Medicine, China Medical University, Taichung, Taiwan.; Divisions Of Nephrology, China Medical University Hospital, Taichung, Taiwan.; Department Of Medicine, College Of Medicine, China Medical University, Taichung, Taiwan., Yu TM; Division Of Nephrology, Taichung Veterans General Hospital, Taichung, Taiwan., Yen TH; Division Of Nephrology, Chang Gung Memorial Hospital, Taipei, Taiwan.; College Of Medicine, Chang Gung University, Taoyuan, Taiwan., Chiu LT; Management Office For Health Data, China Medical University Hospital, Taichung, Taiwan., Lien LM; Department Of Neurology, Shin Kong Wu-Ho-Su Memorial Hospital, Taipei, Taiwan.; Department Of Neurology, College Of Medicine, Taipei Medical University, Taipei, Taiwan., Sun Y; Department Of Neurology, En Chu Kong Hospital, New Taipei City, Taiwan., Wei CY; Department Of Neurology, Chang Bing Show Chwan Memorial Hospital, Changhua County, Taiwan.; Department Of Exercise And Health Promotion, College Of Education, Chinese Culture University, Taipei, Taiwan., Hsu KC; Artificial Intelligence Center For Medical Diagnosis, China Medical University, Taichung, Taiwan.; Department Of Neurology, China Medical University Hospital, Taichung, Taiwan., Lai PC; Divisions Of Nephrology, China Medical University Hospital, Taichung, Taiwan., Li CY; Graduate Institute Of Biological Sciences, College Of Medicine, China Medical University, Taichung, Taiwan.; Department Of Anesthesiology, China Medical University Hospital, Taichung, Taiwan., Sung FC; Management Office For Health Data, China Medical University Hospital, Taichung, Taiwan.; Department Of Health Services Administration, China Medical University College Of Public Health, Taichung, Taiwan.; Department Of Food Nutrition And Health Biotechnology, Asia University, Taichung, Taiwan., Hsu CY; Graduate Institute Of Biological Sciences, College Of Medicine, China Medical University, Taichung, Taiwan.
Jazyk:	angličtina
Zdroj:	Postgraduate medicine [Postgrad Med] 2021 Nov; Vol. 133 (8), pp. 865-872. Date of Electronic Publication: 2021 Aug 18.
DOI:	10.1080/00325481.2021.1964198
Abstrakt:	Objectives: Studies on the association of estimated glomerular filtration rate (eGFR) levels with hospital discharge disposition after stroke are limited with inconsistent results. This study investigated the odds of home discharge with eGFR levels at admission for patients with stroke using the Taiwan Stroke Registry (TSR) data. Methods: From the TSR database, a total of 51,338 stroke patients from 2006 to 2015 were categorized into five groups based on eGFR levels at admission. The proportion of home discharge by the eGFR levels was calculated and logistic regression analysis was used to estimate the related odds ratio (OR) and 95% confidence interval. Results: Near 85% of stroke patients were discharged to home. The proportion of home discharges decreased as the eGFR level declined. Compared to patients with eGFR ≥90 mL/min/1.73 m 2 , the adjusted ORs of home discharge were 0.91, 0.85, 0.63, 0.56 for patients with eGFR 60-89, eGFR 30-59, eGFR 15-29, and eGFR < 15 mL/min/1.73 m 2 or on dialysis, respectively, in a graded relationship. The trends were consistent in the ischemic stroke and hemorrhagic stroke patients. The areas under the receiver operating characteristic curve for all stroke patients, ischemic stroke patients, and hemorrhagic stroke patients were 0.801, 0799, 0.815, respectively. Conclusion: The odds of home discharge for stroke patients decreased with a significant independent graded association with declining eGFR levels. Renal function could predict home discharge after stroke.
Databáze:	MEDLINE
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