急性心肌梗死与慢性肾病：2010-2022 年全国范围内的管理和结果队列研究。

IF 8.5 1区医学 Q1 UROLOGY & NEPHROLOGY

Clinical Journal of the American Society of Nephrology Pub Date : 2024-10-01 Epub Date: 2024-07-18 DOI:10.2215/CJN.0000000000000519

Ellen Linnea Freese Ballegaard, Erik Lerkevang Grove, Anne-Lise Kamper, Bo Feldt-Rasmussen, Gunnar Gislason, Christian Torp-Pedersen, Nicholas Carlson

引用次数: 0

摘要

背景和目的：急性心肌梗死（MI）患者中有 30% 以上患有慢性肾脏病（CKD），而慢性肾脏病与指南指导下的治疗率较低和预后较差有关。我们调查了有和无 CKD 患者的指南指导管理使用情况和死亡风险：方法：我们基于医疗登记进行了一项全国性的队列研究，研究涵盖了 2010-2022 年间丹麦所有年龄≥18 岁的首次心肌梗死住院患者。CKD的定义是估计肾小球滤过率（eGFR）：我们总共确定了 21,009 名符合资格标准的患者。中位年龄为 72 岁，61% 的患者为男性；中位 eGFR 为 82 毫升/分钟/1.73 平方米，21% 的患者患有慢性肾脏病。30天内进行冠状动脉造影和血管再通的概率分别为71%（95% CI 69%-72%）和78%（95% CI 77%-79%）：虽然所有患者在心肌梗死后的存活率都有所提高，但慢性阻塞性肺病仍然与较低的指导性治疗使用率和较高的死亡率有关。

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来源期刊

Clinical Journal of the American Society of Nephrology 医学-泌尿学与肾脏学

CiteScore

12.20

自引率

3.10%

发文量

514

审稿时长

3-6 weeks

期刊介绍： The Clinical Journal of the American Society of Nephrology strives to establish itself as the foremost authority in communicating and influencing advances in clinical nephrology by (1) swiftly and effectively disseminating pivotal developments in clinical and translational research in nephrology, encompassing innovations in research methods and care delivery; (2) providing context for these advances in relation to future research directions and patient care; and (3) becoming a key voice on issues with potential implications for the clinical practice of nephrology, particularly within the United States. Original manuscript topics cover a range of areas, including Acid/Base and Electrolyte Disorders, Acute Kidney Injury and ICU Nephrology, Chronic Kidney Disease, Clinical Nephrology, Cystic Kidney Disease, Diabetes and the Kidney, Genetics, Geriatric and Palliative Nephrology, Glomerular and Tubulointerstitial Diseases, Hypertension, Maintenance Dialysis, Mineral Metabolism, Nephrolithiasis, and Transplantation.