Document Detail


Incidence, etiology, and outcome of stroke in patients on continuous ambulatory peritoneal dialysis.
MedLine Citation:
PMID:  14707407     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Little information exists on clinical features of stroke in patients receiving continuous ambulatory peritoneal dialysis (CAPD). The goals of this study was to clarify features of stroke in CAPD patients, to determine factors to predict onset of stroke during chronic CAPD, and to determine whether CAPD had an advantage over hemodialysis (HD) for prevention of stroke. METHODS: We determined features of stroke in 12 patients (14 attacks including 7 parenchymal and 1 subarachnoid hemorrhage and 6 infarction) among 188 consecutive patients on CAPD, and compared them with those of 137 stroke patients among 1,681 consecutive patients on hemodialysis. RESULTS: Incidence of stroke for CAPD patients (15.7 per 1,000 person-years) was high compared with that of HD patients (approximately 12) or general residents in our suburban town. Patients with stroke on CAPD were younger than those on HD (52 +/- 12 vs. 62 +/- 11 years, p = 0.008). Mean arterial pressure (MAP) of patients with stroke increased after the introduction of CAPD (p = 0.01), whereas that of patients without stroke did not change. Increase in MAP during chronic CAPD was related independently to the occurrence of total stroke or brain hemorrhage. The majority of CAPD patients with stroke (67%) were dead or dependent in the chronic stage of stroke. CONCLUSION: CAPD patients seem to have a greater risk of stroke than the general population primarily because of poor control of hypertension, presumably in part due to overhydration. CAPD does not seem to have an advantage over HD for the prevention of stroke.
Authors:
Kazunori Toyoda; Kenichiro Fujii; Takashi Ando; Yasuhiro Kumai; Setsuro Ibayashi; Mitsuo Iida
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2003-12-23
Journal Detail:
Title:  Cerebrovascular diseases (Basel, Switzerland)     Volume:  17     ISSN:  1015-9770     ISO Abbreviation:  Cerebrovasc. Dis.     Publication Date:  2004  
Date Detail:
Created Date:  2004-03-22     Completed Date:  2004-07-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9100851     Medline TA:  Cerebrovasc Dis     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  98-105     Citation Subset:  IM    
Copyright Information:
Copyright 2004 S. Karger AG, Basel
Affiliation:
Stroke Center, Fukuoka Red Cross Hospital, Japan. toyoda@qmed.hosp.go.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Hypertension, Renal / complications,  epidemiology
Incidence
Kidney Failure, Chronic / epidemiology*,  therapy*
Male
Middle Aged
Multivariate Analysis
Peritoneal Dialysis, Continuous Ambulatory / statistics & numerical data*
Renal Dialysis / statistics & numerical data
Risk Factors
Stroke / epidemiology*,  etiology*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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