Renal Complications in Patients with Renal Infarction: Prevalence and Risk Factors

Kidney and Blood Pressure Research

Ha S.O.¹  Oh B.J.²  Do H.H.¹  Kim D.Y.³  Kwon J.H.² 

[1]Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul

[2] $$

[3]Department of Emergency Medicine, Brain Allgood Army Community Hospital, Seoul

[4] $$

关键词: Risk factor;    Acute kidney injury;    Chronic kidney disease;    Prevalence;    Renal infarction;   

DOI  :  10.1159/000452589

来源: S Karger AG

【 摘 要 】

Background/Aims: This study aimed to investigate the incidence and risk factors for acute kidney injury (AKI) and chronic kidney disease (CKD) in patients with renal infarction. Methods: A single-center retrospective study was conducted from January 2005 to December 2013. Baseline and clinical characteristics of the enrolled patients with renal infarction were evaluated and analyzed according to the presence of AKI and CKD. In particular, predictors for AKI and CKD were determined using logistic regression analysis. Results: Of the 105 patients included in present study, 41 (39.0%) patients had AKI. A total of 80 patients were followed up for 2 years after hospital discharge. Among these patients, 27 (33.8%) patients had CKD. In the multivariate analysis, the predictors were mean blood pressure (odds ratio [OR] 1.062, 95% confidence interval [CI] 1.015-1.112, p = 0.009) and bilateral involvement (OR 4.396, 95% CI 1.096-17.632, p = 0.037) for AKI, and AKI (OR 14.799, 95% CI 4.173-52.490, p < 0.001) and old age (OR 1.065, 95% CI 1.016-1.116, p = 0.009) for CKD. Conclusions: Physicians should pay attention to the development of AKI and CKD after renal infarction and follow patients over a long term.

【 授权许可】

Unknown