Prevalence and risk factors for chronic kidney disease among older adult patients with schizophrenia in Taiwan.

IF 1.1 4区 医学 Q4 PSYCHIATRY
Shu-Ting Chang, Jiunn-Ying Liou, Bo-Jian Wu, Hsing-Kang Chen
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引用次数: 0

Abstract

Objectives: There is an increasing incidence and prevalence of patients with chronic kidney disease (CKD) worldwide. Little is known the prevalence of CKD among older patients with schizophrenia. The purpose of this study was to investigate the prevalence of CKD and its risk factors in older adults with schizophrenia.

Methods: In this cross-sectional study, a convenience sample of 240 patients with schizophrenia age 50 or older was recruited. In addition to demographic and clinical data, participants' estimated glomerular filtration rate was calculated using the Modification of Diet in Renal Disease equation based on age, sex, ethnicity, and serum creatinine level determined from a blood sample taken from participants.

Results: The overall prevalence of CKD was 11.3%. Those with CKD were older, had a longer duration of psychiatric illness, a higher body mass index (BMI), and diagnoses of hypertension compared to those in the non-CKD group. Independent of other risk factors, older age and BMI were significantly associated with CKD.

Conclusions: This study found that the overall prevalence of CKD in older patients with schizophrenia was 11.3%. Independent risk factors for CKD in this population were older age and higher BMI. In addition to early identification and early treatment of CKD in older patients with schizophrenia, clinicians should actively manage the risk factors identified in this study.

台湾老年精神分裂症患者中慢性肾病的患病率和风险因素。
目的:全世界慢性肾脏病(CKD)患者的发病率和患病率都在不断上升。人们对老年精神分裂症患者中慢性肾脏病的患病率知之甚少。本研究旨在调查老年精神分裂症患者中慢性肾脏病的患病率及其风险因素:在这项横断面研究中,共招募了 240 名 50 岁或以上的精神分裂症患者。除了人口统计学和临床数据外,研究人员还根据年龄、性别、种族和从参与者血液样本中提取的血清肌酐水平,采用肾病饮食调整方程计算了参与者的肾小球滤过率:结果:慢性肾脏病的总发病率为 11.3%。与非慢性肾功能衰竭组相比,慢性肾功能衰竭组的患者年龄更大,患精神疾病的时间更长,体重指数(BMI)更高,并被诊断患有高血压。与其他风险因素无关,年龄较大和体重指数与慢性肾功能衰竭显著相关:本研究发现,老年精神分裂症患者的慢性肾脏病总患病率为 11.3%。结论:本研究发现,老年精神分裂症患者的总体发病率为 11.3%,该人群患慢性肾脏病的风险因素是年龄较大和体重指数较高。除了早期发现和早期治疗老年精神分裂症患者的慢性肾功能衰竭外,临床医生还应积极管理本研究中发现的风险因素,如较高的体重指数和年龄。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.00
自引率
5.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: The International Journal of Psychiatry in Medicine (IJPM) bridges the gap between clinical psychiatry research and primary care clinical research. Providing a forum for addressing: The relevance of psychobiological, psychological, social, familial, religious, and cultural factors in the development and treatment of illness; the relationship of biomarkers to psychiatric symptoms and syndromes in primary care...
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