Hospital admission with pneumonia and subsequent persistent risk of chronic kidney disease: national cohort study

Clinical Epidemiology
Per-Ola SundinS Montgomery

Abstract

Although acute onset kidney complications associated with severe infections including pneumonia are well characterized, little is known about possible subsequent delayed risk of chronic kidney disease (CKD). Associations between hospital admission with pneumonia in adulthood and raised risks of subsequent CKD were evaluated in a cohort of all male residents in Sweden born from 1952 to 1956 (n=284,198) who attended mandatory military conscription examinations in late adolescence (n=264,951) and were followed up through 2009. CKD and pneumonia were identified using Swedish national registers, and their associations were evaluated using Cox regression. Excluding the first year, the subsequent period was divided into ≤5, >5-≤15, and >15 years after hospital admission with pneumonia. Follow-up ended on the date of first incident diagnosis of kidney disease, death, emigration, or December 31,2009, whichever occurred first. During a median follow-up of 36.7 (interquartile range 35.3-37.9) years from late adolescence, 5,822 men had an inpatient pneumonia diagnosis without contemporaneous kidney disease. Among exposed men, 136 (2.3%) were later diagnosed with CKD compared with 2,749 (1.2%) of the unexposed. The adjusted hazard ratio for...Continue Reading

Citations

Feb 23, 2020·European Respiratory Review : an Official Journal of the European Respiratory Society·Catia CillónizAntoni Torres
Jun 21, 2019·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Guobin SuJuan Jesus Carrero
Mar 9, 2021·BMJ Neurology Open·Kelsi A SmithScott Montgomery
Mar 19, 2021·KI Reports·Guobin SuJuan Jesus Carrero
Mar 22, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Pierluigi MarzuilloFelice Nunziata

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