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Influence of changes in serum uric acid levels on renal function in elderly patients with hypertension: a retrospective cohort study with 3.5-year follow-up

机译:血清尿酸水平变化对老年高血压患者肾功能的影响:一项为期3。5年随访的回顾性队列研究

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Hyperuricemia is closely related to renal diseases. Therefore, the aim of this study was to explore the relationship between the longitudinal changes in serum uric acid and the estimated glomerular filtration rate (eGFR) in a cohort of elderly hypertensive patients. Eighty hundred and thirty-seven re-hospitalized patients with hypertension were included in this retrospective cohort study. Multiple regression analysis was used to investigate the relationship between changes in serum uric acid and renal function after 3.5?years follow-up. The average age at baseline was 69.0+/-10.0?years, and the average follow-up duration was 3.5?years. Multiple linear regression analysis showed that the baseline uric acid levels had a linearly negative correlation with baseline eGFR (P?
机译:高尿酸血症与肾脏疾病密切相关。因此,本研究的目的是探讨老年高血压患者队列中血清尿酸的纵向变化与估计的肾小球滤过率(eGFR)之间的关系。这项回顾性队列研究纳入了873例重新住院的高血压患者。随访3。5年后,采用多元回归分析研究血清尿酸变化与肾功能的关系。基线时的平均年龄为69.0 +/- 10.0?岁,平均随访时间为3.5?岁。多元线性回归分析表明,在校正了年龄,性别,血压和体重指数后,基线尿酸水平与基线eGFR呈线性负相关(P <0.01),等。基线尿酸水平增加100?μmol/ L导致eGFR降低5.684?ml / min / 1.73?m2 [95%置信区间(CI):7.735-3.633]。尿酸水平升高的患者在随访期间肾功能下降的风险较高,调整后的优势比为1.639(95%CI:1.129-2.378,P = 0.009),而eGFR在2008年保持不变。基线时有高尿酸血症且3.5年后尿酸水平正常的患者。老年高血压患者尿酸水平的纵向变化与肾功能下降独立相关。老年人高血压管理中应考虑尿酸水平。

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