蛋白尿和功能衰竭之间的关系的季节性变化
Takayuki Kawaoka1, Yusuke Sakaguchi1, Tatsufumi Oka1
1Department of Nephrology, Osaka University Graduate School of Medicine, Suita, Japan.
概括
蛋白尿在冬季更高,并且比夏季更强烈地预测功能衰竭的风险. 尿蛋白与肌素比率 (UPCR) 的季节性变化会影响慢性病的进展.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床研究 临床研究
- 流行病学 流行病学
背景情况:
- 蛋白尿,损伤的标志物,显示季节性变化,在冬季增加,在夏季减少.
- 这些季节性波动对功能衰竭风险的影响尚不清楚.
研究的目的:
- 调查蛋白尿和功能衰竭风险之间的关联是否因季节而异.
- 为了确定尿蛋白与肌素比率 (UPCR) 的季节性变化是否会影响到衰竭的进展.
主要方法:
- 来自大阪病研究联盟 (OCKR) 数据库 (2010-2021) 的15367名慢性病患者的回顾性分析.
- 多变量考克斯模型和LASSO回归被用来评估夏季 (UPCR夏季) 和冬季 (UPCR冬季) UPCR与功能衰竭 (开始替代疗法) 的关联.
主要成果:
- 冬季UPCR的中位数比夏季UPCR高46%.
- 冬季UPCR显示,与夏季UPCR相比,功能衰竭的风险显著增加 (1.66每1SD增加) (1.45每1SD增加).
- 较大的UPCR季节性增加与功能衰竭的风险增加有关.
结论:
- 冬季蛋白尿比夏季蛋白尿更强烈地与功能衰竭的风险有关.
- 在UPCR的季节性波动是显著的,应该考虑在管理慢性病患者的临床决策.
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