Diabetes, gender and deterioration in estimated glomerular filtration rate in patients with chronic heart failure: Ten-year prospective cohort study.
Aged
Cause of Death
Chronic Disease
Diabetes Mellitus
/ diagnosis
Diabetic Nephropathies
/ diagnosis
Disease Progression
Female
Glomerular Filtration Rate
Heart Failure
/ diagnosis
Humans
Kidney
/ physiopathology
Kidney Failure, Chronic
/ mortality
Male
Middle Aged
Prognosis
Prospective Studies
Renal Insufficiency, Chronic
/ diagnosis
Risk Assessment
Risk Factors
Sex Factors
Time Factors
ACE-I
Diabetes
eGFR
heart failure
Journal
Diabetes & vascular disease research
ISSN: 1752-8984
Titre abrégé: Diab Vasc Dis Res
Pays: England
ID NLM: 101234011
Informations de publication
Date de publication:
Historique:
entrez:
16
2
2021
pubmed:
17
2
2021
medline:
4
9
2021
Statut:
ppublish
Résumé
We aimed to evaluate the relationship between temporal changes in renal function and long-term mortality in patients with heart failure with reduced ejection fraction (HFrEF) and identify correlates of deteriorating renal function. A total of 381 patients with HFrEF enrolled in a prospective cohort study between 2006-2014 had eGFR measured at initial visit and at 1 year. Baseline characteristics were used in a multivariate analysis to establish variables that predict deterioration in eGFR. Follow-up data were used to assess whether declining eGFR was related to outcomes. Patients were grouped into tertiles based on percentage change in eGFR. In a multivariate logistic regression analysis, male sex was associated with a 1.77-fold ([95% CI 1.01-2.89]; In patients with HFrEF diabetes and male sex are independent predictors of a decline in eGFR at 1 year. A decline eGFR over 1 year is associated with higher long-term all-cause mortality.
Identifiants
pubmed: 33588611
doi: 10.1177/1479164120984433
pmc: PMC8481744
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1479164120984433Subventions
Organisme : British Heart Foundation
ID : FS/12/80/29821
Pays : United Kingdom
Organisme : British Heart Foundation
ID : FS/14/10/30472
Pays : United Kingdom
Organisme : British Heart Foundation
ID : FS/18/44/33792
Pays : United Kingdom
Organisme : British Heart Foundation
ID : FS/CRTF/20/24071
Pays : United Kingdom
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