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    標題: Erythropoietin Use and the Risk of Stroke in Patients on Hemodialysis: A Retrospective Cohort Study in Taiwan
    作者: Hung, Peir-Haur
    Yeh, Chih-Ching
    Hsiao, Chih-Yen
    Muo, Chih-Hsin
    Hung, Kuan-Yu
    Tsai, Kuen-Jer
    貢獻者: Chiayi Christian Hosp, Dept Internal Med, Ditmanson Med Fdn
    Chia Nan Univ Pharm & Sci, Dept Appl Life Sci & Hlth
    Taipei Med Univ, Coll Publ Hlth, Sch Publ Hlth
    China Med Univ, Dept Publ Hlth
    Taipei Med Univ, Wan Fang Hosp, Canc Ctr
    Taipei Med Univ, Coll Publ Hlth, Master Program Appl Mol Epidemiol
    Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
    China Med Univ Hosp, Management Off Hlth Data
    Natl Taiwan Univ Hosp, Dept Internal Med
    Natl Cheng Kung Univ, Coll Med, Inst Clin Med
    Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Ctr Clin Med
    關鍵字: end-stage renal disease
    erythropoietin
    hemodialysis
    ischemic stroke
    日期: 2021
    上傳時間: 2023-11-11 11:49:19 (UTC+8)
    出版者: WILEY
    摘要: Background Targeting higher hemoglobin levels with erythropoietin to treat anemia in patients with chronic kidney disease is associated with increased cardiovascular risk, including that of stroke. The risks of the subtypes of stroke, ischemic, hemorrhagic, and unspecified, following the administration of erythropoietin in patients with end-stage renal disease receiving hemodialysis remain unclear. Methods and results Overall, 12 948 adult patients with end-stage renal disease treated during 1999 to 2010 who had undergone hemodialysis were included. The study end points were the incidences of stroke and its subtypes. We used Cox proportional hazards regression models to estimate hazard ratios (HRs) of stroke and its subtypes in erythropoietin recipients compared with nonrecipients. Patients in the erythropoietin cohort did not have an increased risk of stroke compared with those in the nonerythropoietin cohort (adjusted HR, 1.03; 95% CI, 0.92-1.15). Compared with patients in the nonerythropoietin cohort, the risks of ischemic, hemorrhagic, or unspecified stroke were not higher in patients in the erythropoietin cohort (adjusted HRs, 1.08 [95% CI, 0.93-1.26], 0.96 [95% CI, 0.78-1.18], and 1.03 [95% CI, 0.80-1.32], respectively). Increased risks of stroke and its subtypes were not observed with even large annual defined daily doses of erythropoietin (>201). Conclusions Erythropoietin in patients receiving hemodialysis is not associated with increased risk of stroke or any of its subtypes.
    關聯: J AM HEART ASSOC, v.10, n.14
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