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Utility of CHA2DS2-VASc Score to Predict 1 Mid-Term Clinical Outcomes in Hemodialysis Patients

https://hiroshima.repo.nii.ac.jp/records/2006196
https://hiroshima.repo.nii.ac.jp/records/2006196
30ecf1df-4857-424f-8e36-5ff3b2a51d56
名前 / ファイル ライセンス アクション
AmJNeph_53_169.pdf AmJNeph_53_169.pdf (2.4 MB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-11-22
タイトル
タイトル Utility of CHA2DS2-VASc Score to Predict 1 Mid-Term Clinical Outcomes in Hemodialysis Patients
言語 en
作成者 Okubo, Aiko

× Okubo, Aiko

en Okubo, Aiko

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Doi, Toshiki

× Doi, Toshiki

en Doi, Toshiki

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Morii, Kenichi

× Morii, Kenichi

en Morii, Kenichi

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Nishizawa, Yoshiko

× Nishizawa, Yoshiko

en Nishizawa, Yoshiko

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Yamashita, Kazuomi

× Yamashita, Kazuomi

en Yamashita, Kazuomi

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Shigemoto, Kenichiro

× Shigemoto, Kenichiro

en Shigemoto, Kenichiro

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Mizuiri, Sonoo

× Mizuiri, Sonoo

en Mizuiri, Sonoo

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Usui, Koji

× Usui, Koji

en Usui, Koji

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Arita, Michiko

× Arita, Michiko

en Arita, Michiko

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Naito, Takayuki

× Naito, Takayuki

en Naito, Takayuki

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Masaki, Takao

× Masaki, Takao

en Masaki, Takao

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 en
権利情報 © 2022 S. Karger AG, Basel. The final, published version of this article is available at https://karger.com/?doi=10.1159/000522225.
権利情報
言語 en
権利情報 This is not the published version. Please cite only the published version.
権利情報
言語 ja
権利情報 この論文は出版社版ではありません。引用の際には出版社版をご確認、ご利用ください。
主題
言語 en
主題Scheme Other
主題 CHA2DS2-VASc score
主題
言語 en
主題Scheme Other
主題 Mortality
主題
言語 en
主題Scheme Other
主題 Hemodialysis
内容記述
内容記述 Background. The CHA2DS2-VASc score has been widely used to predict stroke in patients with atrial fibrillation (AF). Recently, it was reported that the CHA2DS2-VASc score helps predict cardiovascular disease (CVD) or all-cause mortality in patients with or without AF. However, few reports have examined the association between this score and mortality in hemodialysis patients. Methods. We analyzed 557 consecutive patients who initiated hemodialysis at our facilities between February 2005 and October 2017. The CHA2DS2-VASc score was calculated at the time of initiation of hemodialysis. Patients were then categorized into three groups according to their CHA2DS2-VASc scores: 0–1 (low), 2–3 (intermediate), and 4–9 (high). Multivariate Cox proportional hazards analysis was used to assess independent risk factors for 3-year all-cause mortality. Results. During the 3-year follow-up period, 153 (27.5%) patients died (cardiovascular death: n=88). According to multivariate analysis, serum albumin (hazard ratio [HR] 0.60, 95% confidence interval [CI] 0.43–0.85, P=0.003), creatinine (HR 0.91, 95% CI 0.84–0.99, P=0.049), and CHA2DS2-VASc score (HR 1.33, 95% CI 1.20–1.46, P<0.001) were associated with 3-year all-cause mortality. Compared with patients in the low CHA2DS2-VASc score group, those in the intermediate and high score groups had a higher risk for all-cause and CVD mortality (all-cause mortality: 50 HR 1.77, 95% CI 1.23–2.55, P=0.002 and HR 2.94, 95% CI 1.90–4.53, P<0.001, respectively; CVD mortality: HR 1.82, 95% CI 1.27–2.59, P=0.001 and HR 2.85, 95% CI 1.88–4.31, P<0.001, respectively). Conclusion. The CHA2DS2-VASc score is a valuable predictor of 3-year all-cause and CVD mortality in incident hemodialysis patients.
言語 en
出版者
出版者 Karger
言語 en
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
関連情報
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1159/000522225
開始ページ
開始ページ 169
書誌情報 en : American Journal of Nephrology

巻 53, 号 2-3, p. 169-175, 発行日 2022-03-08
旧ID 54596
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