Long-Term risk of dementia following acute kidney injury

A population-based study

Chih Chin Kao, Che Hsiung Wu, Chun Fu Lai, Tao Min Huang, Hsi Hsien Chen, Vin Cent Wu, Likwang Chen, Mai Szu Wu, Kwan Dun Wu

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: Adverse neurological effects may be common following acute kidney injury (AKI). The purpose of our study was to investigate the long-Term risk of dementia following AKI and temporary dialysis during hospitalization. Materials and Methods: The study was based on data from the National Health Insurance Research Database of Taiwan. Patients 18-year-old and older who were withdrawn from temporary dialysis because of AKI and survived for at least 90 days following discharge were included in our acute-dialysis-recovery group. Patients without AKI and dialysis were the control group. A Cox proportional-hazards regression model was applied to determine the risk of dementia. Results: Of 2905 acute-dialysis patients, 689 (23.7%) survived for at least 90 days following recovery from acute dialysis. The Cox proportional-hazards regression model showed that the acute-dialysis-recovery group had an increased long-Term risk of dementia (hazard ratio [HR], 2.01; P = 0.01) compared with the control group. The conditional effects plot showed that the risk of dementia was amplified in patients who were older than 58 years. The development of dementia following recovery from acute dialysis was associated with an increase in all-cause mortality (HR, 2.38; P < 0.001). Conclusions: Patients with acute dialysis have a greater risk for the subsequent development of dementia after recovery than patients without AKI and dialysis, and patients who develop dementia after recovery from temporary dialysis are at increased risk for mortality.

Original languageEnglish
Pages (from-to)201-207
Number of pages7
JournalTzu Chi Medical Journal
Volume29
Issue number4
DOIs
Publication statusPublished - Oct 1 2017

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Acute Kidney Injury
Dementia
Dialysis
Population
Proportional Hazards Models
Control Groups
Mortality
National Health Programs
Taiwan
Hospitalization
Databases

Keywords

  • Acute kidney injury
  • Chronic kidney disease
  • Dementia
  • Dialysis
  • End-stage renal disease

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Long-Term risk of dementia following acute kidney injury : A population-based study. / Kao, Chih Chin; Wu, Che Hsiung; Lai, Chun Fu; Huang, Tao Min; Chen, Hsi Hsien; Wu, Vin Cent; Chen, Likwang; Wu, Mai Szu; Wu, Kwan Dun.

In: Tzu Chi Medical Journal, Vol. 29, No. 4, 01.10.2017, p. 201-207.

Research output: Contribution to journalArticle

Kao, Chih Chin ; Wu, Che Hsiung ; Lai, Chun Fu ; Huang, Tao Min ; Chen, Hsi Hsien ; Wu, Vin Cent ; Chen, Likwang ; Wu, Mai Szu ; Wu, Kwan Dun. / Long-Term risk of dementia following acute kidney injury : A population-based study. In: Tzu Chi Medical Journal. 2017 ; Vol. 29, No. 4. pp. 201-207.
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