Chronic kidney disease is associated with increased all-cause mortality in transvenous lead extraction: A systematic review and meta-analysis

被引:1
作者
Tan, Min Choon [1 ,2 ]
Talaei, Fahimeh [1 ,3 ]
Trongtorsak, Angkawipa [4 ]
Lee, Justin Z. [1 ]
Rattanawong, Pattara [5 ,6 ]
机构
[1] Mayo Clin, Dept Cardiovasc Med, Phoenix, AZ USA
[2] New York Med Coll, St Michaels Med Ctr, Dept Internal Med, Newark, NJ USA
[3] McLaren Flint Hosp, Dept Internal Med, Flint, MI USA
[4] St Francis Hosp, Amita Hlth, Dept Internal Med, Evanston, IL USA
[5] Massachusetts Gen Hosp, Demoulas Ctr Cardiac Arrhythmias, 55 Fruit St, Boston, MA 02114 USA
[6] Harvard Med Sch, 55 Fruit St, Boston, MA 02114 USA
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2023年 / 46卷 / 01期
关键词
chronic kidney disease; end-stage renal disease; lead extraction; mortality; outcome assessment; LONG-TERM SURVIVAL; PACEMAKER; DEVICE; OUTCOMES; IMPLANTATION; PREDICTORS; EXPERIENCE; RISK;
D O I
10.1111/pace.14631
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundThe impact of chronic kidney disease (CKD) or end-stage renal disease (ESRD) on patients receiving transvenous lead extraction (TLE) is not well-established. We performed a systematic review and meta-analysis to explore the association between CKD and all-cause mortality in TLE. MethodsWe searched the databases of PubMed and EMBASE from inception to April 2022. Included studies were published TLE studies that compared the risk of mortality in CKD patients compared to control patients. Data from each study were combined using the random-effects model. ResultsEight studies (5,013 patients) were included. Compared with controls, CKD patients had a significantly higher risk of overall all-cause mortality (hazard ratio [HR] = 2.14, 95% confidence interval [CI]: 1.65-2.77, I-2 = 51.1%, p < .001). The risk of overall all-cause mortality increased with the severity of CKD for nonspecific CKD (HR = 2.01, 95% CI: 1.49-2.69, I-2 = 53.4, p < .001) and ESRD (HR = 2.79, 95% CI: 1.85-4.23, I-2 = 0%, p < .001). The risk of all-cause mortality in CKD is double at follow-up <= 1 year (HR = 1.99, 95% CI: 1.29-3.09, I-2 = 50.9%, p = .002) and higher at follow-up >1 year (HR = 2.36, 95% CI: 1.63-3.42, I-2 = 59.7%, p < .001). ConclusionsOur meta-analysis demonstrates a significantly increased risk of overall all-cause mortality in patients with CKD who underwent TLE compared to controls.
引用
收藏
页码:66 / 72
页数:7
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