Epidemiology and survival of the five stages of chronic kidney disease in a systolic heart failure population

Kathy Hebert, Andre Dias, Maria Carolina Delgado, Emiliana Franco, Leonardo Tamariz, Dylan Steen, Patrick Trahan, Brittny Major, Lee M. Arcement

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Aims The epidemiology of the five stages of chronic kidney disease (CKD) in systolic heart failure (HF) patients has predominantly been described in hospitalized White patients, with little known about the prevalence in outpatient Blacks and Hispanics. The purpose of this study was to compare the prevalence of the five stages of CKD by race, ethnicity (Whites, Blacks, and Hispanics), and gender in an outpatient systolic HF population and also to evaluate the impact of CKD on mortality.Methods and resultsWe conducted a prospective study of 1301 patients recruited from two hospital facilities in Louisiana and Florida, USA. All patients were enrolled in a systolic HF disease management programme (HFDMP), which enrolled patients with an ejection fraction of ≤40 by echocardiography. The estimated glomerular filtration rate was calculated using the abbreviated Modification of Diet in Renal Disease Study equation. Patients were classified into five stages of CKD according to the National Kidney Foundation classification system. A total of 338 patients (26) were found to have CKD. Patients with CKD were older, more likely to be Hispanics, to have less education, New York Heart Association class III, elevated systolic blood pressure, and diabetes. There was no statistical difference in prevalence by gender. Survival was reduced in patients with CKD.ConclusionThe prevalence of CKD in an outpatient systolic HFDMP is high, with over one in four patients affected. CKD patients had significantly lower survival rates compared with patients without CKD.

Original languageEnglish
Pages (from-to)861-865
Number of pages5
JournalEuropean Journal of Heart Failure
Volume12
Issue number8
DOIs
StatePublished - Aug 1 2010

Fingerprint

Systolic Heart Failure
Chronic Renal Insufficiency
Epidemiology
Survival
Population
Hispanic Americans
Outpatients
Disease Management
Blood Pressure
Diet Therapy
Kidney
Glomerular Filtration Rate
Echocardiography
Heart Diseases

Keywords

  • Chronic kidney disease
  • Ethnicity
  • Gender
  • Heart failure
  • Mortality
  • Race

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Epidemiology and survival of the five stages of chronic kidney disease in a systolic heart failure population. / Hebert, Kathy; Dias, Andre; Delgado, Maria Carolina; Franco, Emiliana; Tamariz, Leonardo; Steen, Dylan; Trahan, Patrick; Major, Brittny; Arcement, Lee M.

In: European Journal of Heart Failure, Vol. 12, No. 8, 01.08.2010, p. 861-865.

Research output: Contribution to journalArticle

Hebert, K, Dias, A, Delgado, MC, Franco, E, Tamariz, L, Steen, D, Trahan, P, Major, B & Arcement, LM 2010, 'Epidemiology and survival of the five stages of chronic kidney disease in a systolic heart failure population', European Journal of Heart Failure, vol. 12, no. 8, pp. 861-865. https://doi.org/10.1093/eurjhf/hfq077
Hebert, Kathy ; Dias, Andre ; Delgado, Maria Carolina ; Franco, Emiliana ; Tamariz, Leonardo ; Steen, Dylan ; Trahan, Patrick ; Major, Brittny ; Arcement, Lee M. / Epidemiology and survival of the five stages of chronic kidney disease in a systolic heart failure population. In: European Journal of Heart Failure. 2010 ; Vol. 12, No. 8. pp. 861-865.
@article{f3ec462f1bee45f3941076b161d13607,
title = "Epidemiology and survival of the five stages of chronic kidney disease in a systolic heart failure population",
abstract = "Aims The epidemiology of the five stages of chronic kidney disease (CKD) in systolic heart failure (HF) patients has predominantly been described in hospitalized White patients, with little known about the prevalence in outpatient Blacks and Hispanics. The purpose of this study was to compare the prevalence of the five stages of CKD by race, ethnicity (Whites, Blacks, and Hispanics), and gender in an outpatient systolic HF population and also to evaluate the impact of CKD on mortality.Methods and resultsWe conducted a prospective study of 1301 patients recruited from two hospital facilities in Louisiana and Florida, USA. All patients were enrolled in a systolic HF disease management programme (HFDMP), which enrolled patients with an ejection fraction of ≤40 by echocardiography. The estimated glomerular filtration rate was calculated using the abbreviated Modification of Diet in Renal Disease Study equation. Patients were classified into five stages of CKD according to the National Kidney Foundation classification system. A total of 338 patients (26) were found to have CKD. Patients with CKD were older, more likely to be Hispanics, to have less education, New York Heart Association class III, elevated systolic blood pressure, and diabetes. There was no statistical difference in prevalence by gender. Survival was reduced in patients with CKD.ConclusionThe prevalence of CKD in an outpatient systolic HFDMP is high, with over one in four patients affected. CKD patients had significantly lower survival rates compared with patients without CKD.",
keywords = "Chronic kidney disease, Ethnicity, Gender, Heart failure, Mortality, Race",
author = "Kathy Hebert and Andre Dias and Delgado, {Maria Carolina} and Emiliana Franco and Leonardo Tamariz and Dylan Steen and Patrick Trahan and Brittny Major and Arcement, {Lee M.}",
year = "2010",
month = "8",
day = "1",
doi = "10.1093/eurjhf/hfq077",
language = "English",
volume = "12",
pages = "861--865",
journal = "European Journal of Heart Failure",
issn = "1388-9842",
publisher = "Oxford University Press",
number = "8",

}

TY - JOUR

T1 - Epidemiology and survival of the five stages of chronic kidney disease in a systolic heart failure population

AU - Hebert, Kathy

AU - Dias, Andre

AU - Delgado, Maria Carolina

AU - Franco, Emiliana

AU - Tamariz, Leonardo

AU - Steen, Dylan

AU - Trahan, Patrick

AU - Major, Brittny

AU - Arcement, Lee M.

PY - 2010/8/1

Y1 - 2010/8/1

N2 - Aims The epidemiology of the five stages of chronic kidney disease (CKD) in systolic heart failure (HF) patients has predominantly been described in hospitalized White patients, with little known about the prevalence in outpatient Blacks and Hispanics. The purpose of this study was to compare the prevalence of the five stages of CKD by race, ethnicity (Whites, Blacks, and Hispanics), and gender in an outpatient systolic HF population and also to evaluate the impact of CKD on mortality.Methods and resultsWe conducted a prospective study of 1301 patients recruited from two hospital facilities in Louisiana and Florida, USA. All patients were enrolled in a systolic HF disease management programme (HFDMP), which enrolled patients with an ejection fraction of ≤40 by echocardiography. The estimated glomerular filtration rate was calculated using the abbreviated Modification of Diet in Renal Disease Study equation. Patients were classified into five stages of CKD according to the National Kidney Foundation classification system. A total of 338 patients (26) were found to have CKD. Patients with CKD were older, more likely to be Hispanics, to have less education, New York Heart Association class III, elevated systolic blood pressure, and diabetes. There was no statistical difference in prevalence by gender. Survival was reduced in patients with CKD.ConclusionThe prevalence of CKD in an outpatient systolic HFDMP is high, with over one in four patients affected. CKD patients had significantly lower survival rates compared with patients without CKD.

AB - Aims The epidemiology of the five stages of chronic kidney disease (CKD) in systolic heart failure (HF) patients has predominantly been described in hospitalized White patients, with little known about the prevalence in outpatient Blacks and Hispanics. The purpose of this study was to compare the prevalence of the five stages of CKD by race, ethnicity (Whites, Blacks, and Hispanics), and gender in an outpatient systolic HF population and also to evaluate the impact of CKD on mortality.Methods and resultsWe conducted a prospective study of 1301 patients recruited from two hospital facilities in Louisiana and Florida, USA. All patients were enrolled in a systolic HF disease management programme (HFDMP), which enrolled patients with an ejection fraction of ≤40 by echocardiography. The estimated glomerular filtration rate was calculated using the abbreviated Modification of Diet in Renal Disease Study equation. Patients were classified into five stages of CKD according to the National Kidney Foundation classification system. A total of 338 patients (26) were found to have CKD. Patients with CKD were older, more likely to be Hispanics, to have less education, New York Heart Association class III, elevated systolic blood pressure, and diabetes. There was no statistical difference in prevalence by gender. Survival was reduced in patients with CKD.ConclusionThe prevalence of CKD in an outpatient systolic HFDMP is high, with over one in four patients affected. CKD patients had significantly lower survival rates compared with patients without CKD.

KW - Chronic kidney disease

KW - Ethnicity

KW - Gender

KW - Heart failure

KW - Mortality

KW - Race

UR - http://www.scopus.com/inward/record.url?scp=77955445090&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77955445090&partnerID=8YFLogxK

U2 - 10.1093/eurjhf/hfq077

DO - 10.1093/eurjhf/hfq077

M3 - Article

C2 - 20484366

AN - SCOPUS:77955445090

VL - 12

SP - 861

EP - 865

JO - European Journal of Heart Failure

JF - European Journal of Heart Failure

SN - 1388-9842

IS - 8

ER -