Incident Atrial Fibrillation and the Risk of Stroke in Adults with Chronic Kidney Disease: The Stockholm CREAtinine Measurements (SCREAM) Project

Clinical Journal of the American Society of Nephrology : CJASN
Juan Jesús CarreroKarolina Szummer

Abstract

Patients with CKD have a high risk of atrial fibrillation. Both CKD and atrial fibrillation are associated with higher risk of stroke and death. However, the effect of incident atrial fibrillation on stroke risk among patients with CKD is unknown. Our study included adults with CKD (eGFR<60 ml/min per 1.73 m2) without previously documented atrial fibrillation who had been in contact with health care in Stockholm, Sweden during 2006-2011. Incident atrial fibrillation was identified by administrative diagnostic codes in outpatient or inpatient care and treated as a time-updated exposure in the analysis of stroke and death risk. Stroke events and deaths were ascertained from regional and national registers with complete coverage. Covariates included demographics, comorbidities, therapeutic procedures, and medications. Multivariable Cox regression analysis and competing risk analysis (accounting for death) were used to estimate the association between incident atrial fibrillation and stroke. Among 116,184 adults with CKD, 13,412 (12%) developed clinically recognized atrial fibrillation during a mean follow-up of 3.9 years (interquartile range, 2.3-5.7 years). Incidence of atrial fibrillation increased across lower eGFR strata: from...Continue Reading

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Citations

Aug 20, 2020·Stroke; a Journal of Cerebral Circulation·Dearbhla M KellyUNKNOWN Oxford Vascular Study
Oct 17, 2018·Toxins·Tawfik AddiStéphane Burtey
Sep 2, 2020·Cardiovascular Research·Wern Yew DingGregory Y H Lip
Mar 19, 2021·KI Reports·Mark D McCauleyUNKNOWN CRIC Study Investigators
Jun 4, 2021·Stroke; a Journal of Cerebral Circulation·Dearbhla M KellyManish M Sood
Jan 15, 2022·Journal of Internal Medicine·Juan Jesus Carrero, Carl Gustaf Elinder

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