Smoking Hikes Stroke Risk in Hemodialysis Patients
Other risk factors include diabetes, increasing age, and increasing dialysis vintage.
AMSTERDAM—Smoking and diabetes are among the risk factors for ischemic stroke in hemodialysis (HD) patients, researchers reported at the 51st Congress of the European Renal Association-European Dialysis and Transplant Association.
Camilla Nilssen, MD, of Oslo University Hospital in Norway, and colleagues studied 2,773 HD patients who had a median age of 64 years at baseline. The mean time on dialysis at study inclusion was 3.5 years. During a median follow-up of 3.8 years, 105 stroke events (ischemic cerebral stroke and death from ischemic stroke) occurred.
Current smoking and diabetes were associated with a significant 2.1 times and 1.72 times increased risk of ischemic cerebral stroke, respectively. Increasing age and dialysis vintage were associated with an increasing risk of ischemic cerebral stroke, whereas increasing albumin level was associated with a decreasing risk.
The study revealed no association between ischemic cerebral stroke and gender, systolic blood pressure, phosphate, body mass index, and LDL-cholesterol.