Well, what can your doctor do about this problem?. Don't just describe a problem and run away, suggest a solution. Does no one in stroke have any brains at all? Well no wonder, it was led by a neurologist.
http://www.news-medical.net/news/20170131/Routine-blood-test-that-measures-kidney-function-can-predict-short-term-outcomes-for-stroke-patients.aspx
A routine blood test that measures kidney function can be a valuable
predictor of short-term outcomes for stroke patients, according to a
study led by a neurologist at Wake Forest Baptist Medical Center.
The study team analyzed data on more than 232,000 ischemic stroke
patients age 65 and older who were admitted to 1,581 U.S. hospitals over
a three-year period. The researchers found that those patients with
renal dysfunction upon admission, as indicated by the estimated
glomerular filtration rate (eGFR) calculated from a blood creatinine
test and basic demographic information such as age, race and sex, were
significantly more likely to die while hospitalized and far less likely
to be discharged home.
The study is published in the February issue of the journal Stroke.
"Kidney disease is frequently a comorbidity in patients with acute
ischemic stroke," said the study's principal investigator, Nada El
Husseini, M.D., assistant professor of neurology at Wake Forest School
of Medicine, a part of Wake Forest Baptist. "This one test done on
admission to measure kidney function can be used to better inform
patients with ischemic stroke and their families about what to expect."
The
eGFR is measured on a scale from 0 to 120, with scores 15 and under
indicative of kidney failure and scores 60 and above considered normal.
In their study the researchers found that in-hospital mortality was most
common (29.2 percent) among the stroke patients with eGFR scores 15 and
under without dialysis and least common (9.1 percent) among those with
scores 60 and above.
The data also revealed that discharge home was most common (42.8
percent) among the stroke patients with eGFR scores 60 and above and
least common (23.5 percent) among those with scores 15 and under without
dialysis. The findings regarding those with eGFR scores between 16 and
59 followed similar trends in short-term outcomes, with higher scores
correlating to lesser risk of in-hospital mortality and greater odds of
being discharged home.
"Any renal dysfunction was associated with increased risk of
inpatient mortality and any eGFR less than 30 with lower likelihood of
being discharged home," El Husseini said. "Kidney function is clearly an
important factor in stroke patients."
Because the study was limited to Medicare patients 65 and over who
were admitted to facilities participating in a voluntary nationwide
quality-improvement program, the research results may not be directly
applicable to other populations, El Husseini said.
But future research in this area, she said, might "determine if
specific interventions could further influence short-term outcomes
following stroke in those with kidney disease."
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