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ORIGINAL CONTRIBUTION Impairment in Glomerular Filtration Rate or Glomerular Filtration Barrier and Occurrence of Stroke Bruce Ovbiagele, MD Background: Chronic kidney disease (CKD) is associ- clearance) and glomerular filtration barrier (microal- ated with substantial burden and is a strong risk factor buminuria). for cardiovascular disease. However, data on the rela- Results: Of 6382 adults who met inclusion criteria, 5624 tionship between CKD and stroke are few and are lim- (88%) had full and complete data, of which 414 (6%) re- ited by unreliable or inadequate assessment of renal ported having had a stroke. Stroke survivors were older and function. more likely to have CKD, diabetes, hypertension, coro- Objective: To properly assess the relationship between nary artery disease, elevated blood pressure, increased gly- renal insufficiency and stroke in stroke survivors in the cohemoglobin concentration, and lower hematocrit com- United States by simultaneously examining the effect of pared with respondents who did not report stroke. guideline-recommended indices of renal disease that mea- Multivariate models showed that microalbuminuria (odds sure glomerular filtration rate (creatinine clearance) and ratio, 1.51; 95% confidence interval, 1.02-2.24), de- glomerular filtration barrier (proteinuria). creased glomerular filtration rate (odds ratio, 1.93; 95% con- fidence interval, 1.28-2.91), and stage 3
JAMA Neurology – American Medical Association
Published: Jul 1, 2008
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