Indeks Artikel Jurnal-Majalah

Prediction of cardiovascular disease mortality by proteinuria and reduced kidney function: pooled analysis of 39,000 individuals from 7 cohort studies in Japan

Masaharu Nagata, Toshiharu Ninomiya, Yutaka Kiyohara, Yoshitaka Murakami, Fujiko Irie, Toshimi Sairenchi, Katsuyuki Miura, Tomonori Okamura, Hirotsugu Ueshima; EPOCH-JAPAN Research Group (Oxford University Press, 2013)

Abstrak

There are limited studies addressing whether proteinuria and estimated glomerular filtration rate (eGFR) are independently associated with cardiovascular disease in Asia. Using data from 7 prospective cohorts recruited between 1980 and 1994 in Japan, we assessed the influence of proteinuria (≥1+ on dipstick) and reduced eGFR on the risk of cardiovascular disease mortality in 39,405 participants (40-89 years) without kidney failure. During a 10.1-year follow-up, 1,927 subjects died from cardiovascular disease. Proteinuria was associated with a 1.75-fold (95% confidence interval (CI): 1.44, 2.11) increased risk of cardiovascular disease mortality after adjustment for potential confounding factors. Additionally, the multivariate-adjusted hazard ratio of cardiovascular disease mortality increased linearly with lower eGFR levels (P(trend) < 0.001): Subjects with eGFR of < 45 mL/minute/1.73 m² had a 2.22-fold (95% CI: 1.60, 3.07) greater risk of cardiovascular disease mortality than those with eGFR of ≥90 mL/minute/1.73 m². Subjects with both proteinuria and eGFR of < 45 mL/minute/1.73 m² had a 4.05-fold (95% CI: 2.55, 6.43) higher risk of cardiovascular disease mortality compared with those with neither of these risk factors. There was no evidence of interaction in the relationship between proteinuria and lower eGFR (P(interaction) = 0.77). The present results suggest that proteinuria and lower eGFR are independent risk factors for cardiovascular disease mortality in the Japanese population.

Metadata

Jenis Koleksi : Indeks Artikel Jurnal-Majalah
No. Panggil : AJE Vol.178, No.1
Pengarang/kontributor lain :
Sumber artikel : American Journal of Epidemiology
Volume : Vol.178, No.1 July. 1, 2013: p.1-11
Penerbitan : Oxford : Oxford University Press, 2013
Kode Bahasa : eng
ISSN :
Catatan Umum :
Lembaga Pemilik : Pusinfokesmas FKM UI
No. Panggil No. Barkod Ketersediaan Lokasi
AJE Vol.178, No.1 150114 TERSEDIA Lantai 5
Ulasan:
Tidak ada ulasan pada koleksi ini: 102052

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