Evidence map›Paper›PMID 39680586›Full record

ArticlePloS one2024

Comparative analysis of ischemic and hemorrhagic stroke hospitalization rates in end-stage kidney disease and kidney transplant patients with and without atrial fibrillation.

Tyler Canova, Rochell Issa, Patrick Baxter, Alexander J Didier, Alicia Nahhas, Meng-Hao Li, Ian Thomas, Naoru Koizumi, Ehab Eltahawy, Obi Ekwenna

Abstract readComparative Study
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Tyler CanovaDepartment of Medicine, The University of Toledo College of Medicine, Toledo, Ohio, United States of America.ORCID 0000-0001-8546-7918
Rochell IssaDepartment of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, United States of America.ORCID 0000-0003-4948-3210
Patrick BaxterSchar School of Policy and Government, George Mason University, Arlington, Virginia, United States of America.ORCID 0009-0005-5308-3190
Alexander J DidierDepartment of Medicine, The University of Toledo College of Medicine, Toledo, Ohio, United States of America.
Alicia NahhasDepartment of Medicine, The University of Toledo College of Medicine, Toledo, Ohio, United States of America.ORCID 0000-0002-0446-9258
Meng-Hao LiSchar School of Policy and Government, George Mason University, Arlington, Virginia, United States of America.
Ian ThomasDepartment of Nephrology & Transplant, Mount St. John's Medical Centre, St. John's, Antigua & Barbuda.
Naoru KoizumiSchar School of Policy and Government, George Mason University, Arlington, Virginia, United States of America.ORCID 0000-0001-8722-0898
Ehab EltahawyDepartment of Cardiovascular Medicine, The University of Toledo Medical Center, Toledo, Ohio, United States of America.
Obi EkwennaDepartment of Urology and Transplantation, The University of Toledo Medical Center, Toledo, Ohio, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAtrial fibrillation (AF) in end-stage kidney disease (ESKD) and kidney transplant (KTx) recipients presents challenges in stroke risk management. This study aimed to compare hospitalization rates for ischemic and hemorrhagic cerebrovascular events in ESKD and KTx patients with and without AF.

methodsUsing the National Inpatient Sample (2005-2019), retrospective analysis was conducted on hospitalizations for ESKD and KTx patients with and without AF. Baseline characteristics and hospitalization rates for five cerebral ischemic conditions and one hemorrhagic condition were compared. Descriptive statistics and t-tests were employed for analysis.

resultsAmong ESKD patients, those with AF exhibited significantly higher hospitalization rates for ischemic stroke, including 1)Cerebral infarction due to thrombosis, embolism, occlusion (0.11% vs. 0.08%,p<0.001), 2)Cerebral infarction due to thrombosis, embolism, and unspecified occlusion (1.93% vs. 1.51%, p<0.001), 3)Artery occlusion resulting in cerebral ischemia (1.37% vs. 0.93%,p<0.001), 4)Cerebral artery occlusion resulting in cerebral ischemia (0.48% vs. 0.42%,p<0.001), while experiencing lower rates of intraoperative and postprocedural cerebrovascular infarction (0.88% vs. 0.97%,p<0.001) compared to those without AF. Conversely, KTx patients with AF showed increased hospitalizations for hemorrhagic stroke, particularly nontraumatic intracranial hemorrhage (0.79% vs. 0.56%,p<0.001), compared to those without AF. However, they did not exhibit significant differences in hospitalization rates for most ischemic conditions, except for cerebral infarction due to thrombosis, embolism, and unspecific occlusion (1.62% vs. 1.11%,p<0.001) and artery occlusion resulting in cerebral ischemia (0.84% vs. 0.52%,p<0.001).

conclusionOur findings reveal patterns in hospitalization rates between ESKD and KTx patients with AF compared to those without AF, with ESKD patients with AF exhibiting higher rates of ischemic stroke compared to ESKD patients without AF and KTx patients with AF showing increased hospitalizations for hemorrhagic stroke compared to those without AF. These findings demonstrate the impact of AF on hospitalization rates for ischemic and hemorrhagic cerebrovascular events in both ESKD and KTx patients.

Indexed as

Atrial FibrillationHemorrhagic StrokeHospitalizationIschemic StrokeKidney Failure, ChronicKidney TransplantationAdultAgedFemaleHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID39680586
PMCPMC11649131

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.