國家衛生研究院 NHRI:Item 3990099045/11450
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    題名: Association of statin use with mortality after dialysis-requiring acute kidney injury: A population-based cohort study
    作者: Wu, CL;Kor, CT;Chang, CC;Chiu, PF;Tarng, DC;Hsu, CC
    貢獻者: Institute of Population Health Sciences
    摘要: Objective: To investigate the association between statin use and mortality in patients with dialysis-requiring acute kidney injury (AKI-D). Patients and Methods: This nationwide, population-based, retrospective cohort study included 6091 hospitalized patients with AKI-D (1271 statin users and 4820 statin nonusers) retrieved from the National Health Insurance Research Database of Taiwan between January 1, 2000, and December 31, 2012. All the patients were followed up until December 31, 2013. Primary and secondary outcomes were 1-year and in-hospital mortality, respectively. All the primary analyses were performed using the intention-to-treat approach. Results: During 1-year follow-up, 492 of 1271 statin users (38.7%) and 2365 of 4820 statin nonusers (49.1%) died. After propensity score matching, statin use was independently associated with lower risks of 1-year all-cause mortality (hazard ratio [HR], 0.79; 95% CI, 0.69-0.9; P<.001) and in-hospital all-cause mortality (HR, 0.84; 95% CI, 0.71-0.99; P=.04). The survival benefit of statin treatment was dose-dependent and consistent across subgroups based on sensitivity analyses. Conclusion: Statin use was independently associated with reduced risks of 1-year and in-hospital mortality in patients with AKI-D. Statin therapy may be beneficial in this patient group. However, further clinical trials should be performed to confirm the findings.
    日期: 2018-10
    關聯: Mayo Clinic Proceedings. 2018 Oct;93(10):1474-1483.
    Link to: http://dx.doi.org/10.1016/j.mayocp.2018.05.034
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0025-6196&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000446070100018
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85053040688
    顯示於類別:[許志成] 期刊論文

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