教師資料查詢 | 類別: 期刊論文 | 教師: 蔡志群 Chih-chun Tsai (瀏覽個人網頁)

標題:Is End Stage Renal Disease a Risk Factor for the Mortality of Cirrhotic Patients with Esophageal Variceal Bleeding?
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
語言英文(美國)
ISSN0172-6390
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
國別美國
公開徵稿
出版型式,電子版
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