Title Association between Low Estimated Glomerular Filtration Rate and Risk of Cerebral Small-Vessel Diseases: A Meta-Analysis
Authors Liu, Yuanyuan
Lv, Pu
Jin, Haiqiang
Cui, Wei
Niu, Chenguang
Zhao, Mingming
Fan, Chenghe
Teng, Yuming
Pan, Bing
Peng, Qing
Luo, Jingjing
Zheng, Lemin
Huang, Yining
Affiliation Peking Univ, Hosp 1, Dept Neurol, Beijing 100034, Peoples R China.
Peking Univ, Hlth Sci Ctr, Inst Cardiovasc Sci, Beijing 100191, Peoples R China.
Peking Univ, Hlth Sci Ctr, Inst Syst Biomed, Sch Basic Med Sci, Beijing 100191, Peoples R China.
Peking Univ, Hlth Sci Ctr, Minist Educ, Key Lab Mol Cardiovasc Sci, Beijing 100191, Peoples R China.
Peking Univ, Hosp 1, Dept Neurol, Beijing 100034, Peoples R China.
Zheng, LM (reprint author), Peking Univ, Hlth Sci Ctr, Inst Cardiovasc Sci, Beijing 100191, Peoples R China.
Zheng, LM (reprint author), Peking Univ, Hlth Sci Ctr, Inst Syst Biomed, Sch Basic Med Sci, Beijing 100191, Peoples R China.
Zheng, LM (reprint author), Peking Univ, Hlth Sci Ctr, Minist Educ, Key Lab Mol Cardiovasc Sci, Beijing 100191, Peoples R China.
Keywords Cerebral small
vessel diseases
estimated glomerular filtration rate
chronic kidney impairment
meta-analysis
CHRONIC KIDNEY-DISEASE
WHITE-MATTER HYPERINTENSITY
SILENT BRAIN INFARCTION
ISCHEMIC-STROKE
CARDIOVASCULAR-DISEASES
BLOOD-PRESSURE
RENAL-FUNCTION
ETHNIC-GROUPS
MICROBLEEDS
PATHOGENESIS
Issue Date 2016
Publisher JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
Citation JOURNAL OF STROKE & CEREBROVASCULAR DISEASES.2016,25,(3),710-716.
Abstract Background: Although chronic kidney disease has been linked to cerebral small-vessel disease (CSVD), a definite relationship between them has not been established. This study assessed whether low estimated glomerular filtration is associated with risk of different subtypes of CSVDs. Methods: Electronic databases were systematically searched for studies reporting an odds ratio of the association between low estimated glomerular filtration and CSVD risk. Sixteen studies, including 10,534 participants, were identified. A fix effects model was applied and odds ratios (ORs) with 95% confidence intervals were presented. Results: Overall, risk of CSVDs was greater in individuals with low estimated glomerular filtration (OR = 2.20). Stratified analyses consistently showed significant associations across different subtypes, with pooled OR being greatest in subjects with silent cerebral infarction (SCI) (OR = 2.71) and cerebral microbleed (OR = 2.70). A pooled estimate of studies showing OR as a continuous variable showed results consistent with the former analysis (OR = .98 per standard deviation decrease) in low estimated glomerular filtration. Conclusions: This study revealed that low estimated glomerular filtration was significantly associated with risk of CSVDs. Low estimated glomerular filtration was most strongly associated with SCI (OR = 2.71) among subtypes of CSVDs.
URI http://hdl.handle.net/20.500.11897/435375
ISSN 1052-3057
DOI 10.1016/j.jstrokecerebrovasdis.2015.11.016
Indexed SCI(E)
PubMed
Appears in Collections: 第一医院

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