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Current status of stroke in hemodialysis patients on a remote island

OBJECTIVES: Hemodialysis patients have a higher incidence of stroke than healthy individuals. Hemodialysis patients living on remote islands are subject to additional distance and transportation difficulties. Therefore, we aimed to study the association between stroke and hemodialysis in patients li...

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Autores principales: Nakamura, Hikaru, Hiu, Takeshi, Yamamoto, Yasuhito, Oda, Shinya, Izumo, Tsuyoshi, Matsuo, Takayuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10490869/
https://www.ncbi.nlm.nih.gov/pubmed/37682834
http://dx.doi.org/10.1371/journal.pone.0288731
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author Nakamura, Hikaru
Hiu, Takeshi
Yamamoto, Yasuhito
Oda, Shinya
Izumo, Tsuyoshi
Matsuo, Takayuki
author_facet Nakamura, Hikaru
Hiu, Takeshi
Yamamoto, Yasuhito
Oda, Shinya
Izumo, Tsuyoshi
Matsuo, Takayuki
author_sort Nakamura, Hikaru
collection PubMed
description OBJECTIVES: Hemodialysis patients have a higher incidence of stroke than healthy individuals. Hemodialysis patients living on remote islands are subject to additional distance and transportation difficulties. Therefore, we aimed to study the association between stroke and hemodialysis in patients living on remote islands. MATERIALS AND METHODS: We conducted a retrospective cohort study based on the medical records of maintenance hemodialysis patients in Shinkamigoto-Cho, Nagasaki, Japan, between June 1, 2005, and June 31, 2022. The clinical characteristics, probability of hemorrhagic stroke, acute ischemic stroke-free rate, and survival probability with or without a history of anticoagulant/antiplatelet use were evaluated. The survival probability among the hemorrhagic stroke, acute ischemic stroke, and non-stroke groups was also evaluated. RESULTS: This study involved 142 patients. Nine patients (6.3%) had intracerebral hemorrhage, one (0.7%) had subarachnoid hemorrhage, eight (5.6%) had acute ischemic stroke, and 124 (87.3%) had no stroke. The number of patients with severe disabilities (modified Rankin Scale 5/6) was significantly higher in the hemorrhagic stroke group. The probability of hemorrhagic stroke and acute ischemic stroke-free rate, or survival probability with or without a history of anticoagulant/antiplatelet use, were not significantly different. The acute ischemic stroke group was not associated with a lower survival probability than the other groups. The hemorrhagic stroke group had a significantly lower survival probability than the acute ischemic stroke group. CONCLUSIONS: This is the first study to report the status of stroke in hemodialysis patients living on remote islands, thus providing valuable information for improved stroke management in such patients.
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spelling pubmed-104908692023-09-09 Current status of stroke in hemodialysis patients on a remote island Nakamura, Hikaru Hiu, Takeshi Yamamoto, Yasuhito Oda, Shinya Izumo, Tsuyoshi Matsuo, Takayuki PLoS One Research Article OBJECTIVES: Hemodialysis patients have a higher incidence of stroke than healthy individuals. Hemodialysis patients living on remote islands are subject to additional distance and transportation difficulties. Therefore, we aimed to study the association between stroke and hemodialysis in patients living on remote islands. MATERIALS AND METHODS: We conducted a retrospective cohort study based on the medical records of maintenance hemodialysis patients in Shinkamigoto-Cho, Nagasaki, Japan, between June 1, 2005, and June 31, 2022. The clinical characteristics, probability of hemorrhagic stroke, acute ischemic stroke-free rate, and survival probability with or without a history of anticoagulant/antiplatelet use were evaluated. The survival probability among the hemorrhagic stroke, acute ischemic stroke, and non-stroke groups was also evaluated. RESULTS: This study involved 142 patients. Nine patients (6.3%) had intracerebral hemorrhage, one (0.7%) had subarachnoid hemorrhage, eight (5.6%) had acute ischemic stroke, and 124 (87.3%) had no stroke. The number of patients with severe disabilities (modified Rankin Scale 5/6) was significantly higher in the hemorrhagic stroke group. The probability of hemorrhagic stroke and acute ischemic stroke-free rate, or survival probability with or without a history of anticoagulant/antiplatelet use, were not significantly different. The acute ischemic stroke group was not associated with a lower survival probability than the other groups. The hemorrhagic stroke group had a significantly lower survival probability than the acute ischemic stroke group. CONCLUSIONS: This is the first study to report the status of stroke in hemodialysis patients living on remote islands, thus providing valuable information for improved stroke management in such patients. Public Library of Science 2023-09-08 /pmc/articles/PMC10490869/ /pubmed/37682834 http://dx.doi.org/10.1371/journal.pone.0288731 Text en © 2023 Nakamura et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Nakamura, Hikaru
Hiu, Takeshi
Yamamoto, Yasuhito
Oda, Shinya
Izumo, Tsuyoshi
Matsuo, Takayuki
Current status of stroke in hemodialysis patients on a remote island
title Current status of stroke in hemodialysis patients on a remote island
title_full Current status of stroke in hemodialysis patients on a remote island
title_fullStr Current status of stroke in hemodialysis patients on a remote island
title_full_unstemmed Current status of stroke in hemodialysis patients on a remote island
title_short Current status of stroke in hemodialysis patients on a remote island
title_sort current status of stroke in hemodialysis patients on a remote island
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10490869/
https://www.ncbi.nlm.nih.gov/pubmed/37682834
http://dx.doi.org/10.1371/journal.pone.0288731
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