Renal Impairment and Risk of Acute Stroke: The INTERSTROKE Study

Digital

Autores:
Smyth, Andrew
Judge, Conor
Wang, Xingyu
Pare, Guillaume
Rangarajan, Sumathy
Canavan, Michelle
Chin, Siu Lim
Al-Hussain, F.
Yusufali, Afzalhussein
ElSayed, Ahmed
Damasceno, Albertino
Avezum, Alvaro
Czlonkowska, Anna
Rosengren, Annika
Dans, Antonio
Oguz, Aytekin
Mondo, Charles
Weimar, Christian
Ryglewicz, Danuta
Xavier, Denis
Lanas, Fernando
Malaga, German
Hankey, Graeme J.
Iversen, Helle K.
Zhang, Hongye
Yusoff, Khalid
Pogosova, Nana
Lopez-Jaramillo, Patricio
Langhorne, Peter
Diaz, Rafael
Oveisgharan, Shahram
Yusuf, Salim
O’Donnell, Martin J.
The INTERSTROKE investigators
Tipo de recurso:
Article of journal
Fecha de publicación:
2021
Institución:
Universidad de Santander
Repositorio:
Repositorio Universidad de Santander
Idioma:
eng
OAI Identifier:
oai:repositorio.udes.edu.co:001/6142
Acceso en línea:
https://doi.org/10.1159/000515239
https://repositorio.udes.edu.co/handle/001/6142
Palabra clave:
Kidney disease
Stroke
Rights
closedAccess
License
© 2022 The Authors, S. Karger AG, Basel
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dc.title.spa.fl_str_mv Renal Impairment and Risk of Acute Stroke: The INTERSTROKE Study
title Renal Impairment and Risk of Acute Stroke: The INTERSTROKE Study
spellingShingle Renal Impairment and Risk of Acute Stroke: The INTERSTROKE Study
Kidney disease
Stroke
title_short Renal Impairment and Risk of Acute Stroke: The INTERSTROKE Study
title_full Renal Impairment and Risk of Acute Stroke: The INTERSTROKE Study
title_fullStr Renal Impairment and Risk of Acute Stroke: The INTERSTROKE Study
title_full_unstemmed Renal Impairment and Risk of Acute Stroke: The INTERSTROKE Study
title_sort Renal Impairment and Risk of Acute Stroke: The INTERSTROKE Study
dc.creator.fl_str_mv Smyth, Andrew
Judge, Conor
Wang, Xingyu
Pare, Guillaume
Rangarajan, Sumathy
Canavan, Michelle
Chin, Siu Lim
Al-Hussain, F.
Yusufali, Afzalhussein
ElSayed, Ahmed
Damasceno, Albertino
Avezum, Alvaro
Czlonkowska, Anna
Rosengren, Annika
Dans, Antonio
Oguz, Aytekin
Mondo, Charles
Weimar, Christian
Ryglewicz, Danuta
Xavier, Denis
Lanas, Fernando
Malaga, German
Hankey, Graeme J.
Iversen, Helle K.
Zhang, Hongye
Yusoff, Khalid
Pogosova, Nana
Lopez-Jaramillo, Patricio
Langhorne, Peter
Diaz, Rafael
Oveisgharan, Shahram
Yusuf, Salim
O’Donnell, Martin J.
The INTERSTROKE investigators
dc.contributor.author.none.fl_str_mv Smyth, Andrew
Judge, Conor
Wang, Xingyu
Pare, Guillaume
Rangarajan, Sumathy
Canavan, Michelle
Chin, Siu Lim
Al-Hussain, F.
Yusufali, Afzalhussein
ElSayed, Ahmed
Damasceno, Albertino
Avezum, Alvaro
Czlonkowska, Anna
Rosengren, Annika
Dans, Antonio
Oguz, Aytekin
Mondo, Charles
Weimar, Christian
Ryglewicz, Danuta
Xavier, Denis
Lanas, Fernando
Malaga, German
Hankey, Graeme J.
Iversen, Helle K.
Zhang, Hongye
Yusoff, Khalid
Pogosova, Nana
Lopez-Jaramillo, Patricio
Langhorne, Peter
Diaz, Rafael
Oveisgharan, Shahram
Yusuf, Salim
O’Donnell, Martin J.
The INTERSTROKE investigators
dc.contributor.researchgroup.spa.fl_str_mv Masira
dc.subject.proposal.eng.fl_str_mv Kidney disease
Stroke
topic Kidney disease
Stroke
description Digital
publishDate 2021
dc.date.issued.none.fl_str_mv 2021-05-05
dc.date.accessioned.none.fl_str_mv 2022-02-23T23:31:05Z
dc.date.available.none.fl_str_mv 2022-02-23T23:31:05Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.doi.none.fl_str_mv https://doi.org/10.1159/000515239
dc.identifier.uri.none.fl_str_mv https://repositorio.udes.edu.co/handle/001/6142
url https://doi.org/10.1159/000515239
https://repositorio.udes.edu.co/handle/001/6142
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationendpage.spa.fl_str_mv 215
dc.relation.citationstartpage.spa.fl_str_mv 206
dc.relation.citationvolume.spa.fl_str_mv 55
dc.relation.cites.none.fl_str_mv Smyth A, Judge C, Wang X, Pare G, Rangarajan S, Canavan M, Chin S, L, Al-Hussain F, Yusufali A, M, Elsayed A, Damasceno A, Avezum A, Czlonkowska A, Rosengren A, Dans A, L, Oguz A, Mondo C, Weimar C, Ryglewicz D, Xavier D, Lanas F, Malaga G, Hankey G, J, Iversen H, K, Zhang H, Yusoff K, Pogosova N, Lopez-Jamarillo P, Langhorne P, Diaz R, Oveisgharan S, Yusuf S, O’Donnell M: Renal Impairment and Risk of Acute Stroke: The INTERSTROKE Study. Neuroepidemiology 2021;55:206-215. doi: 10.1159/000515239
dc.relation.indexed.spa.fl_str_mv Scopus
dc.relation.ispartofjournal.spa.fl_str_mv Neuroepidemiology
dc.rights.spa.fl_str_mv © 2022 The Authors, S. Karger AG, Basel
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dc.rights.creativecommons.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)
dc.rights.uri.spa.fl_str_mv https://creativecommons.org/licenses/by-nc/4.0/
rights_invalid_str_mv © 2022 The Authors, S. Karger AG, Basel
Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)
https://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_14cb
eu_rights_str_mv closedAccess
dc.format.extent.spa.fl_str_mv 10 p
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Karger Publishers
dc.publisher.place.spa.fl_str_mv Suiza
dc.source.spa.fl_str_mv https://www.karger.com/Article/Abstract/515239#
institution Universidad de Santander
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spelling Smyth, Andrew1ee75a1d-4184-4e48-b6e5-c7bba7dd0484-1Judge, Conor597e974c-49de-458b-96c0-37679f2f5493-1Wang, Xingyu90755e4f-bf4b-49b7-8e35-8920d40f5b92-1Pare, Guillaumedd7820f6-1654-4bf6-8fb2-3666b651dba9-1Rangarajan, Sumathy5466c363-e515-4bd2-8537-eb839320f385-1Canavan, Michellef2269b20-0251-498d-8f91-5cd115d4cd78-1Chin, Siu Lim4ce69b52-ef57-420e-9cb1-91de5d8b747d-1Al-Hussain, F.be66c90d-9f22-4a31-a994-f396eec1c3b3-1Yusufali, Afzalhussein2c177fd9-b761-4f07-b754-1e05fe659a48-1ElSayed, Ahmed229271f2-22a0-437e-87c2-32523a0ed27d-1Damasceno, Albertino2500b2be-4fb3-45c8-ba40-645dd73600aa-1Avezum, Alvaro8b920360-abb2-4ec8-b5ee-4e3f4e0b11eb-1Czlonkowska, Anna124b7f21-8a3d-4bf2-900c-bc38601f1982-1Rosengren, Annika923779f9-3a92-4086-b3d9-9d78974926d9-1Dans, Antoniof365ef5a-7610-4022-8485-31d6d3879cd6-1Oguz, Aytekince3e3101-01ec-4709-ad5f-2ba54357481e-1Mondo, Charles7aafecbd-7e11-4e0b-8dc7-ddb7ded2b812-1Weimar, Christian5179f92a-6de3-4a62-b425-ab2f9c74a7be-1Ryglewicz, Danuta06d512a7-a66f-4518-bb0c-d6244a17f9b5-1Xavier, Denis88c9cf48-fa3b-45c6-be03-2cc79e59289d-1Lanas, Fernandod22b7fe4-9f1f-4028-a22b-be782ef03d3c-1Malaga, German6d419c43-e594-4165-9bbd-0189a860fd25-1Hankey, Graeme J.1fec7d95-98bf-4a14-a14f-dbed7b975864-1Iversen, Helle K.41563fca-63f7-46be-8150-8176c3fbc88d-1Zhang, Hongyed8ce2d60-d147-47cc-be31-d9f1519ef7e8-1Yusoff, Khalid933db13d-f5bb-4ea6-91a5-68eea1ca9ffc-1Pogosova, Nana0f2fb5e5-6659-4562-96e6-74c03e0c46bf-1Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Langhorne, Peterbd5a0fce-5ba6-4170-bf60-16817ce1b262-1Diaz, Rafaelf2be4a74-501a-4e63-8bbd-965cbcf8c57b-1Oveisgharan, Shahram1cab3836-9975-4db6-baef-f66f100c6178-1Yusuf, Salim06a836b5-f5e3-41d9-a516-9cc46e5d7948-1O’Donnell, Martin J.87baff49-ae1d-46bd-ad8a-0cbd6aecbacd-1The INTERSTROKE investigators3517049a-fa21-4d5b-aef0-82b20ebc57b2-1Masira2022-02-23T23:31:05Z2022-02-23T23:31:05Z2021-05-05DigitalBackground: Previous studies reported an association of renal impairment with stroke, but there are uncertainties underpinning this association. Aims: We explored if the association is explained by shared risk factors or is independent and whether there are regional or stroke subtype variations. Methods: INTERSTROKE is a case-control study and the largest international study of risk factors for first acute stroke, completed in 27 countries. We included individuals with available serum creatinine values and calculated estimated glomerular filtration rate (eGFR). Renal impairment was defined as eGFR <60 mL/min/1.73 m2. Multivariable conditional logistic regression was used to determine the association of renal function with stroke. Results: Of 21,127 participants, 41.0% were female, the mean age was 62.3 ± 13.4 years, and the mean eGFR was 79.9 ± 23.5 mL/min/1.73 m2. The prevalence of renal impairment was higher in cases (22.9% vs. 17.7%, p < 0.001) and differed by region (p < 0.001). After adjustment, lower eGFR was associated with increased odds of stroke. Renal impairment was associated with increased odds of all stroke (OR 1.35; 95% CI: 1.24–1.47), with higher odds for intracerebral hemorrhage (OR 1.60; 95% CI: 1.35–1.89) than ischemic stroke (OR 1.29; 95% CI: 1.17–1.42) (pinteraction 0.12). The largest magnitudes of association were seen in younger participants and those living in Africa, South Asia, or South America (pinteraction < 0.001 for all stroke). Renal impairment was also associated with poorer clinical outcome (RRR 2.97; 95% CI: 2.50–3.54 for death within 1 month). Conclusion: Renal impairment is an important risk factor for stroke, particularly in younger patients, and is associated with more severe stroke and worse outcomes.Ciencias Médicas y de la Salud10 papplication/pdfhttps://doi.org/10.1159/000515239https://repositorio.udes.edu.co/handle/001/6142engKarger PublishersSuiza21520655Smyth A, Judge C, Wang X, Pare G, Rangarajan S, Canavan M, Chin S, L, Al-Hussain F, Yusufali A, M, Elsayed A, Damasceno A, Avezum A, Czlonkowska A, Rosengren A, Dans A, L, Oguz A, Mondo C, Weimar C, Ryglewicz D, Xavier D, Lanas F, Malaga G, Hankey G, J, Iversen H, K, Zhang H, Yusoff K, Pogosova N, Lopez-Jamarillo P, Langhorne P, Diaz R, Oveisgharan S, Yusuf S, O’Donnell M: Renal Impairment and Risk of Acute Stroke: The INTERSTROKE Study. Neuroepidemiology 2021;55:206-215. doi: 10.1159/000515239ScopusNeuroepidemiology© 2022 The Authors, S. Karger AG, Baselinfo:eu-repo/semantics/closedAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_14cbhttps://www.karger.com/Article/Abstract/515239#Kidney diseaseStrokeRenal Impairment and Risk of Acute Stroke: The INTERSTROKE StudyArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationORIGINALRenal Impairment and Risk of Acute Stroke. The INTERSTROKE Study.pdfRenal Impairment and Risk of Acute Stroke. 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