Worse in-hospital outcomes in patients with transient ischemic attack in association with acute kidney injury: Analysis of nationwide in-patient sample

Fahad Saeed, Malik M. Adil, Ahmed A. Malik, Mushtaq H. Qureshi, Fadi Nahab

Research output: Contribution to journalArticle

Abstract

Objectives: The effect of acute kidney injury (AKI) on outcomes of transient ischemic attack (TIA) is largely unknown. We wanted to determine the impact of AKI on the outcomes of patients admitted with TIA. Methods: Data from all adult patients admitted to the U.S. hospitals between 2005 and 2011 with a primary discharge diagnosis of TIA and secondary diagnosis of AKI were included, using the nationwide inpatient dataset. The association of AKI with TIA-related mortality and discharge outcomes was analyzed after adjusting for potential confounders using logistic regression analysis. Results: Of the 1,173,340 patients admitted with TIA, 45,974 (3.8%) had AKI. Dialysis was required in 29 (0.06%) patients. TIA patients with AKI had higher rates of moderate-to-severe disability (21.2 vs. 13.7%, p ≤ 0.0001), and in-hospital mortality (0.6 vs. 0.1%, p ≤ 0.0001) compared with those without AKI. After adjusting for age, sex, and potential confounders; TIA patients with AKI had higher odds of moderate-to-severe disability [OR 1.3, 95% CI 1.2-1.4, p < 0.0001] and death (OR 4.2, 95% CI 3.0-6.1, p < 0.0001). Conclusions: AKI in patients with TIA is associated with significantly higher rates of moderate- to-severe disability at discharge and in-hospital mortality compared with those without AKI.

Original languageEnglish (US)
Pages (from-to)258-262
Number of pages5
JournalAmerican Journal of Nephrology
Volume40
Issue number3
DOIs
StatePublished - Nov 13 2014
Externally publishedYes

    Fingerprint

Keywords

  • Acute kidney injury
  • Transient ischemic attack

ASJC Scopus subject areas

  • Nephrology

Cite this