期刊論文
| 學年 | 103 |
|---|---|
| 學期 | 1 |
| 出版（發表）日期 | 2014-10-01 |
| 作品名稱 | Is End Stage Renal Disease a Risk Factor for the Mortality of Cirrhotic Patients with Esophageal Variceal Bleeding? |
| 作品名稱（其他語言） | |
| 著者 | Hung; T. H.; Tseng; C. W.; Tseng; K. C.; Hsieh; Y. H.; Tsai; C. C.; Tsai; C. C. |
| 單位 | |
| 出版者 | |
| 著錄名稱、卷期、頁數 | Hepato-Gastroenterology 61(135), p.1871-1875 |
| 摘要 | End stage renal disease (ESRD) patients are prone to have bleeding due to uremic platelet dysfunction. However, it is still unknown if ESRD is a risk factor for the mortality of cirrhotic patients with esophageal variceal bleeding (EVB). METHODOLOGY: The National Health Insurance Database, derived from the Taiwan National Health Insurance Program, was used to enroll 6740 cirrhotic patients who were hospitalized with EVB from January 1 to December 31, 2007. The patients were matched with individuals from a national mortality database to calculate their survival time. RESULTS: Of all, 418 patients had renal function impairment (RFI) during their hospitalization. There were 209 (50%) patients with acute renal failure (ARF), and 110 (26.3%) patients with ESRD. The adjusted hazard ratios (HR) of ARF for 6-week and 1-year mortalities of cirrhotic patients with EVB were 4.90 (P<0.001) and 4.34 (P<0.001), compared to the non-RFI group. However, the adjusted HRs of ESRD for 6-week and 1-year mortalities were 1.19 (P=0.404) and 1.50 (P<0.001), compared to the non-RFI impairment group. CONCLUSION: ESRD is associated with 1-year mortality, but not a risk factor for 6-week mortality in cirrhotic patients with EVB. |
| 關鍵字 | hemodialysis;portal hypertension;cirrhosis;acute renal failure;esophageal variceal bleeding |
| 語言 | en_US |
| ISSN | 0172-6390 |
| 期刊性質 | 國外 |
| 收錄於 | SCI |
| 產學合作 | |
| 通訊作者 | Tsai; C. C |
| 審稿制度 | 否 |
| 國別 | USA |
| 公開徵稿 | |
| 出版型式 | ,電子版 |
| 相關連結 |
機構典藏連結 ( http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/105930 ) |