Prevalence, Predictors, and Impact of Peripheral Arterial Disease in Hemodialysis Patients
| Autor: | Ahmed Sadek, Valsa Koshy, Rajvir Singh, Ahmed Hussein, Ahmed Sharaf, Ayman El-Menyar, Jassim Al Suwaidi, Hassan Al Thani |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Population Cohort Studies Peripheral Arterial Disease Renal Dialysis Risk Factors Internal medicine Diabetes mellitus Prevalence medicine Humans Prospective Studies education Prospective cohort study education.field_of_study business.industry Hazard ratio Diabetic retinopathy Odds ratio Middle Aged Prognosis medicine.disease Surgery Female Hemodialysis Cardiology and Cardiovascular Medicine business Follow-Up Studies Cohort study |
| Zdroj: | Angiology. 64:98-104 |
| ISSN: | 1940-1574 0003-3197 |
| DOI: | 10.1177/0003319711436078 |
| Popis: | We evaluated the prevalence, predictors, and outcome of peripheral arterial disease (PAD) among hemodialysis (HD) patients (n = 252) in a prospective study (3-year follow-up) conducted in Qatar. Those with PAD (n = 97; 38.5%) were older and more likely to be males and to have diabetes mellitus, prior coronary artery disease (CAD), or cerebrovascular disease. Diabetic retinopathy was an independent predictor of PAD (adjusted odds ratio: 2.7; P = .004). Women had a higher mortality. Three-year all-cause mortality was high in the PAD group (adjusted hazard ratios [HRs] 2.92; 95% confidence interval [CI] 1.55-5.51). Other predictors of mortality were age (HR 1.06; 95% CI 1.04-1.10), number of vascular access (HR 2.3; 95% CI 1.04-5.01), and prior CAD (HR 1.8; 95% CI 1.05-3.49). Prevalence of PAD was high among HD patients. Early detection of PAD as well as diabetic retinopathy is of value in identifying an even higher risk population among HD patients. |
| Databáze: | OpenAIRE |
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