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June 6, 2020Journal of the American Heart Association25 citationsOpen Access

Short‐Term Systolic Blood Pressure Variability and Kidney Disease Progression in Patients With Chronic Kidney Disease: Results From C‐STRIDE

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QWQin WangYWYu WangJWJinwei Wang

Key Result

Short-term systolic blood pressure variability was associated with an increased risk of dialysis initiation or transplantation in patients with CKD (HR 1.47; 95% CI 1.09-1.99).

Study Design

Type

Cohort

Structured PICO

Does short-term systolic blood pressure variability increase the risk of kidney disease progression in patients with chronic kidney disease?

P
Population
Patients with chronic kidney disease
I
Intervention
Short-term systolic blood pressure variability (w-SD of SBP)
C
Comparator
Lower systolic blood pressure variability (quartile 1)
O
Outcome
Renal outcomes (dialysis initiation and/or transplantation)hard clinical

Short-term systolic blood pressure variability is independently associated with an increased risk of dialysis initiation or transplantation in patients with chronic kidney disease.

Main Result

Effect estimate: HR 1.47 (95% CI 1.09-1.99)

p-value: p=0.005

Abstract

=0.005). w-SD of SBP was associated with an increased risk of renal outcomes, both as a continuous variable (hazard ratio HR, 1.47; 95% CI, 1.09-1.99) and as a categorical variable (quartile 4 versus quartile 1: HR, 1.60; 95% CI, 1.08-2.36), independent of 24-hour SBP, daytime SBP, and nighttime SBP. Conclusions Short-term SBP was independently associated with the risk of dialysis initiation and/or transplantation in patients with chronic kidney disease.

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Cite This Study

Wang et al. (2020) conducted a cohort in Chronic Kidney Disease. Short-term systolic blood pressure variability (w-SD of SBP) vs. Lower variability (Quartile 1) was evaluated on Dialysis initiation and/or transplantation (HR 1.47, 95% CI 1.09-1.99, p=0.005). Short-term systolic blood pressure variability was associated with an increased risk of dialysis initiation or transplantation in patients with CKD (HR 1.47; 95% CI 1.09-1.99).

synapsesocial.com/papers/6a0663ffcc83fae8617783b4https://doi.org/10.1161/jaha.120.015359
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