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Updated: Sep 9, 2025
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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
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Carga global y tendencias de ictus atribuibles a la disfunción renal entre 1990 y 2021
Zi-Han Yin1,2, Qiong-Nan Bao1,2, Jiao Chen1,2
1School of Acu-Mox and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Clinical kidney journal
|September 3, 2025
Resumen
La disfunción renal (KD) aumenta significativamente el riesgo de accidente cerebrovascular. La carga global de accidentes cerebrovasculares vinculados a la enfermedad cardiaca aumentó sustancialmente entre 1990 y 2021 y se prevé que aumente, lo que requiere intervenciones específicas de salud pública.
Área de la Ciencia:
- Nefrología
- Neurología
- Salud pública
- Epidemiología
Sus antecedentes:
- La disfunción renal (KD) es un factor de riesgo establecido para el accidente cerebrovascular y sus subtipos (SSS).
- No existen evaluaciones exhaustivas de la carga global de los SSS atribuibles a las KD.
- Este estudio aborda la necesidad de un análisis detallado de las tendencias de los SSS relacionados con el KD.
Objetivo del estudio:
- Para comparar las tendencias a largo plazo en los SSS relacionados con KD de 1990 a 2021.
- Predecir la carga futura de enfermedades relacionadas con la enfermedad de Parkinson hasta el año 2045.
- Analizar las variaciones de la carga del SSS relacionada con el KD por factores demográficos y geográficos.
Principales métodos:
- Se utilizaron datos del Estudio de la Carga Global de Enfermedades (GBD) de 2021.
- Estimación de la mortalidad y los años de vida ajustados por incapacidad (DALY) para el SSS relacionado con la enfermedad cardiaca.
- Cambios porcentuales anuales estimados calculados (EAPC) para tasas estandarizadas por edad y análisis estratificados por sexo, edad, IDS, región y país.
Principales resultados:
- Entre 1990 y 2021, la mortalidad por accidente cerebrovascular relacionada con KD aumentó en un 40,4% y los DALY en un 36,7%.
- Las cargas hemorrágicas isquémicas y intracerebrales mostraron aumentos, con EAPC variables.
- La carga más alta se observó en las regiones medias de IDS y Asia oriental, con el crecimiento de la población y el envejecimiento contribuyendo al aumento.
Conclusiones:
- A pesar de la ligera tendencia a largo plazo a la disminución, la carga global de los SSS relacionados con los KD ha aumentado significativamente.
- Existen variaciones notables en diferentes áreas de índice sociodemográfico, regiones, países, sexos y grupos de edad.
- El desafío creciente de la SSS relacionada con la enfermedad cognitiva exige estrategias terapéuticas específicas e iniciativas de salud pública.
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