Association of Glomerular Filtration Rate and Carotid Intima-Media Thickness in Non-Diabetic Chronic Kidney Disease Patients over a 4-Year Follow-Up
| Autor: | Josko Bozic, Mirjana Vasilj, Azer Rizikalo, Andrija Matetic, Zoran Tocilj, Slavica Corić |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
carotid intima-media thickness 030232 urology & nephrology Urology Renal function 030204 cardiovascular system & hematology urologic and male genital diseases Article General Biochemistry Genetics and Molecular Biology 03 medical and health sciences 0302 clinical medicine medicine cardiovascular diseases Stage (cooking) Prospective cohort study lcsh:Science Ecology Evolution Behavior and Systematics glomerular filtration rate business.industry Paleontology medicine.disease chronic kidney disease female genital diseases and pregnancy complications Intima-media thickness Space and Planetary Science Mixed effects cardiovascular system Multiple linear regression analysis lcsh:Q business Non diabetic Kidney disease |
| Zdroj: | Life, Vol 11, Iss 204, p 204 (2021) Life Volume 11 Issue 3 |
| ISSN: | 2075-1729 |
| Popis: | Patients with chronic kidney disease (CKD) have increased risk of cardiovascular events. However, the association of glomerular filtration rate (GFR) and carotid intima-media thickness (CIMT) in non-diabetic CKD patients is under-investigated. This prospective study was conducted at University Clinical Hospital Mostar over a 4-year period and enrolled a total of 100 patients with stage 2 and 4 CKD (50 patients per group). Stage 4 CKD group had significantly higher baseline CIMT values (1.13 ± 0.25 vs. 0.74 ± 0.03 mm, P< 0.001), and more atherosclerotic plaques at the study onset (13 (26%) vs. 0 (0%), P < 0.001) compared to stage 2 CKD. A statistically significant 4-year increase in GFR (coefficient of 2.51, 3.25, 2.71 and 1.50 for 1-year, 2-year, 3-year and 4-year follow-up, respectively, P < 0.05) with non-significant CIMT alterations has been observed in stage 2 CKD. Furthermore, linear mixed effects analysis revealed significant decrease in GFR (coefficient of −6.69, −5.12, −3.18 and −1.77 for 1-year, 2-year, 3-year and 4-year follow-up, respectively, P < 0.001) with increase in CIMT (coefficient of 0.20, 0.14, 0.07 and 0.03 for 1-year, 2-year, 3-year and 4-year follow-up, respectively, P < 0.001) in stage 4 CKD. GFR and CIMT showed significant negative correlation in both CKD groups during all follow-up phases (P < 0.001). Furthermore, multiple linear regression analysis revealed significant independent prediction of CIMT by baseline GFR (B = −0.85, P < 0.001), while there was no significant prediction of CIMT with other covariates. In conclusion, this study demonstrates significant association of GFR and CIMT in non-diabetic stage 2 and stage 4 CKD during the 4-year follow-up. |
| Databáze: | OpenAIRE |
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