Mortality Outcomes With Intensive Blood Pressure Targets in Chronic Kidney Disease Patients

التفاصيل البيبلوغرافية
العنوان: Mortality Outcomes With Intensive Blood Pressure Targets in Chronic Kidney Disease Patients
المؤلفون: Rahul Aggarwal, Benjamin Petrie, Wasif Bala, Nicholas Chiu
المصدر: Hypertension. 73:1275-1282
بيانات النشر: Ovid Technologies (Wolters Kluwer Health), 2019.
سنة النشر: 2019
مصطلحات موضوعية: education.field_of_study, medicine.medical_specialty, business.industry, Population, 030204 cardiovascular system & hematology, medicine.disease, 03 medical and health sciences, 0302 clinical medicine, Blood pressure, Internal medicine, Internal Medicine, medicine, 030212 general & internal medicine, education, business, Kidney disease
الوصف: Hypertension is highly prevalent and morbid in the chronic kidney disease population, and blood pressure (BP) targets for this population are unclear. We aimed to compare all-cause mortality outcomes with intensively targeting systolic BP to 2 along with those undergoing intensive glycemic control. The primary outcome was all-cause mortality. Average achieved BP was 125.0 mm Hg in the intensive group and 136.9 mm Hg in the standard group. In the primary analysis, the all-cause mortality rate trended towards improved outcomes with intensive treatment but was not statistically significant (hazard ratio: 0.87 [0.69–1.08]; P =0.21). One hundred seventy-three of 2474 patients (1.95% per year) in the standard group and 153 of 2509 patients (1.71% per year) in the intensive group died. After excluding patients with higher glomerular filtration rate values and those undergoing intensive glycemic control, there was a statistically significant decrease in all-cause mortality rate (hazard ratio: 0.79 [0.63–1.00]; P =0.048). An intensive BP target of
تدمد: 1524-4563
0194-911X
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::11918a9bd3623e7036ee4e74bc2f2e83
https://doi.org/10.1161/hypertensionaha.119.12697
حقوق: OPEN
رقم الأكسشن: edsair.doi...........11918a9bd3623e7036ee4e74bc2f2e83
قاعدة البيانات: OpenAIRE