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請使用永久網址來引用或連結此文件:
https://ir.cnu.edu.tw/handle/310902800/28561
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| 標題: | End-stage renal disease after hypertensive disorders in pregnancy |
| 作者: | Wu, Chia-Chun
Chen, Sheng-Hsien
Ho, Chung-Han
Liang, Fu-Wen
Chu, Chin-Chen
Wang, Hsien-Yi
Lu, Yi-Hua |
| 貢獻者: | 休閒暨健康管理學院 |
| 關鍵字: | hypertensive disorder
renal disease |
| 日期: | 2014-02 |
| 上傳時間: | 2015-05-06 21:20:44 (UTC+8) |
| 出版者: | Mosby-Elsevier |
| 摘要: | OBJECTIVE: The purpose of this study was to determine the long-term postpartum risk of end-stage renal disease in women with hypertensive disorders in pregnancy. Although most women with hypertensive disorders in pregnancy recover after delivery, some may experience acute renal failure. STUDY DESIGN: We searched Taiwan's National Health Insurance Research Database to identify women with hypertensive disorders in pregnancies and deliveries between 1998 and 2002. All cases were followed for a maximum of 11 years (median, 9 years; interquartile range, 7.79-10.02 years) to estimate the incidence of end-stage renal disease; Cox regression analysis that was adjusted for potential confounding was used to determine the relative risk. RESULTS: Of the 13,633 women with hypertensive disorders in pregnancy, 46 experienced end-stage renal disease. Women with hypertensive disorders in pregnancy had a risk of end-stage renal disease that was 10.64 times greater than did women without them (95% confidence interval [CI], 7.53-15.05). The risk was highest in women with a history of preeclampsia superimposed on chronic hypertension (hazard ratio, 44.72; 95% CI, 22.59-88.51). Women with gestational hypertension had a higher risk of end-stage renal disease than did women without hypertensive disorders in pregnancy (hazard ratio, 5.82; 95% CI, 2.15-15.77). CONCLUSION: Women with hypertensive disorders in pregnancy have a higher risk of postpartum end-stage renal disease, regardless of which type of hypertensive disorder they have. Women with a history of hypertensive disorders in pregnancy are encouraged to have regular postpartum checkups, especially of renal function. |
| 關聯: | American Journal of Obstetrics and Gynecology, v.210 n.2, 1470 |
| 顯示於類別: | [醫務管理系(所)] 期刊論文
[運動管理系] 期刊論文
[休閒保健管理系(所)] 期刊論文
[藥學系(所)] 期刊論文
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