Loading...
|
Please use this identifier to cite or link to this item:
https://ir.cnu.edu.tw/handle/310902800/29719
|
標題: | Epidemiologic features and long-term outcome of dialysis patients with infective endocarditis in Taiwan |
作者: | Chou, Ming-Ting Wang, Jhi-Joung Wu, Wen-Shiann Weng, Shih-Feng Ho, Chung-Han Lin, Zhe-Zhong Cheng, Tain-Junn Chien, Chih-Chiang |
貢獻者: | 通識教育中心 醫務管理系 職業安全衛生系 |
關鍵字: | Infective endocarditis Rheumatic heart disease Dialysis |
日期: | 2015-01 |
上傳時間: | 2016-04-19 19:05:47 (UTC+8) |
出版者: | Elsevier Ireland Ltd |
摘要: | Background: The incidence of infective endocarditis (IE) is high in dialysis patients. Limited data are available on the risk factors for IE and long-term outcome after IE in dialysis patients, especially in Asian populations.
Methods: We used Taiwan National Health Insurance Research Database to design a longitudinal cohort study. 68,426 ESRD patients who began dialysis between 1999 and 2007 were included. The follow-up period was from the start of dialysis to death, end of dialysis, or end of 2008. Cox proportional hazards models were used to identify the risk factors for IE.
Results: IE was diagnosed in 502 patients during follow-up (201.4 per 100,000 person-years). Diabetes mellitus (DM), congestive heart failure (CHF), cerebro-vascular accident (CVA), and rheumatic heart disease (RHD) (HR: 3.07, 95% CI: 1.99-4.75) were associated with an increasing risk of development of IE. The cumulative incidence rate of IE in patients with RHD was 1.4, 2.2, and 3.9% at 1, 3, and 5 years. In-hospital mortality was 23.5%. Cumulative survival rates post-IE were 54.3% at 1 year and only 35.3% at 5 years.
Conclusion: Dialysis patients had a higher risk of IE. Those who were older and had DM, CHF, CVA, or especially RHD were at a greater risk. Dialysis patients with IE also had high mortality |
關聯: | International Journal of Cardiology, v.179, pp.465-469 |
Appears in Collections: | [職業安全衛生系(含防災所)] 期刊論文 [醫務管理系(所)] 期刊論文 [通識教育中心] 期刊論文
|
Files in This Item:
File |
Description |
Size | Format | |
index.html | | 0Kb | HTML | 1852 | View/Open |
|
All items in CNU IR are protected by copyright, with all rights reserved.
|