학술논문
CEREBROVASCULAR ACCIDENTS IN PATIENTS OF CHRONIC RENAL FAILURE WITH ALTERED SENSORIUM PRESENTING IN EMERGENCY
Original Research Article
Original Research Article
Document Type
Clinical report
Author
Source
Journal of Evolution of Medical and Dental Sciences. April 22, 2019, Vol. 8 Issue 16, p1265, 3 p.
Subject
Language
English
ISSN
2278-4748
Abstract
BACKGROUND Chronic kidney disease/chronic renal failure encompasses a spectrum of different pathophysiological processes associated with abnormal kidney function and a progressive decline in glomerular filtration rate (GFR). Table 1 provides [...]
BACKGROUND Cerebrovascular disease is a devastating expression of vascular risk in CKD and yet, in comparison to cardiac disease, is relatively understudied. It is vital to understand the risks as well as benefits of established treatments directed at stroke treatment and prevention in all stages of CKD. We wanted to study stroke and stroke related mortality in patients of chronic renal failure. METHODS This is a prospective study of one-year duration, conducted from Dec. 2015 to Nov. 2016, at GMC, Jammu, which is a tertiary care centre. In our study, 64 patients were enrolled, 36 (56.25%) were males and 28 (43.75) were females. Age of patients ranged from 18 to 60 years. RESULTS Out of 64 patients included in our study, 8 patients (12.5%) had ischemic stroke, 6 patients (9.37%) had haemorrhagic stroke while 2 patients (3.12%) had both the lesions. CONCLUSIONS The incidence of stroke and related mortality is higher in CKD patients compared with that of the general population. Presence of anaemia, hypoalbuminemia, malnutrition, uraemia and hyperhomocysteinaemia in patients with CKD is associated with higher incidence of stroke.
BACKGROUND Cerebrovascular disease is a devastating expression of vascular risk in CKD and yet, in comparison to cardiac disease, is relatively understudied. It is vital to understand the risks as well as benefits of established treatments directed at stroke treatment and prevention in all stages of CKD. We wanted to study stroke and stroke related mortality in patients of chronic renal failure. METHODS This is a prospective study of one-year duration, conducted from Dec. 2015 to Nov. 2016, at GMC, Jammu, which is a tertiary care centre. In our study, 64 patients were enrolled, 36 (56.25%) were males and 28 (43.75) were females. Age of patients ranged from 18 to 60 years. RESULTS Out of 64 patients included in our study, 8 patients (12.5%) had ischemic stroke, 6 patients (9.37%) had haemorrhagic stroke while 2 patients (3.12%) had both the lesions. CONCLUSIONS The incidence of stroke and related mortality is higher in CKD patients compared with that of the general population. Presence of anaemia, hypoalbuminemia, malnutrition, uraemia and hyperhomocysteinaemia in patients with CKD is associated with higher incidence of stroke.