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Mubaraki AA, Alotaibi WD, Sibyani AK, Alrbaiai GT, Almalki HS, Atallah HM, Basfar AS, Alqaedi A, Althobaiti HA, Algethami MM, Althobaiti YA. Prevalence of stroke among patients with chronic kidney disease, Taif, Saudi Arabia. Saudi Med J 2023; 44:1139-1144. [PMID: 37926452 PMCID: PMC10712769 DOI: 10.15537/smj.2023.44.11.20230206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2023] [Accepted: 10/05/2023] [Indexed: 11/07/2023] Open
Abstract
OBJECTIVES To evaluate the prevalence of stroke among chronic kidney disease (CKD) patients in Taif, Saudi Arabia. METHODS A multicentric retrospective study was carried out from May 2021 to August 2022 on 4 dialysis centers in Taif, Saudi Arabia. With a total of 1857 CKD patients (aged ≥18 years old) participated in this study. Data were collected by reviewing patients' files. RESULTS Approximately 98.3% of the participants had severely decreased glomerular filtration rate. Approximately 49.1% of them were on dialysis; the majority of them (87.2%) underwent hemodialysis. The prevalence of stroke in these CKD patients was 8.3%. Ischemic stroke was the most frequently reported issue (81.2%). Ischemic stroke was comparatively more frequently observed in peritoneal dialysis patients (12.1%); whereas hemorrhagic stroke was more on hemodialysis patients with statistically significant association (p=0.029). However, there was no significant association between the prevalence of stroke and stages of CKD. CONCLUSION The prevalence of stroke in our cohort was 8.3%, and the majority of cases were ischemic strokes. Furthermore, ischemic strokes were more frequent in peritoneal dialysis patients, whereas hemorrhagic strokes occurred more frequently in hemodialysis patients with a statistically significant association.
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Affiliation(s)
- Adnan A. Mubaraki
- From the Department of Medicine (Mubaraki); from the College of Medicine (Atallah, Basfar), Taif University, from the Department of Internal Medicine (Alotaibi), King Abdulaziz Specialist Hospital; from the Department of Medicine (Y. A. Althobaiti), King Abdulaziz Specialist Hospital, from the Department of Nephrology (Alqaedi), Taif Children Hospital, from the Department of Medicine (H. A. Althobaiti), King Faisal Medical Complex, from the Department of Medicine (Algethami), Alhada Armed Forces Hospital, Taif, from the Department of Neurology (Sibyani), National Guard Health Affairs, from the Department of Neurology (Alrbaiai), King Abdullah Medical Complex, Directorate of Health Affairs, Jeddah, and from the Department of Emergency Medicine (Almalki), Riyadh Second Health Cluster, Riyadh, Kingdom of Saudi Arabia.
| | - Waad D. Alotaibi
- From the Department of Medicine (Mubaraki); from the College of Medicine (Atallah, Basfar), Taif University, from the Department of Internal Medicine (Alotaibi), King Abdulaziz Specialist Hospital; from the Department of Medicine (Y. A. Althobaiti), King Abdulaziz Specialist Hospital, from the Department of Nephrology (Alqaedi), Taif Children Hospital, from the Department of Medicine (H. A. Althobaiti), King Faisal Medical Complex, from the Department of Medicine (Algethami), Alhada Armed Forces Hospital, Taif, from the Department of Neurology (Sibyani), National Guard Health Affairs, from the Department of Neurology (Alrbaiai), King Abdullah Medical Complex, Directorate of Health Affairs, Jeddah, and from the Department of Emergency Medicine (Almalki), Riyadh Second Health Cluster, Riyadh, Kingdom of Saudi Arabia.
| | - Afnan K. Sibyani
- From the Department of Medicine (Mubaraki); from the College of Medicine (Atallah, Basfar), Taif University, from the Department of Internal Medicine (Alotaibi), King Abdulaziz Specialist Hospital; from the Department of Medicine (Y. A. Althobaiti), King Abdulaziz Specialist Hospital, from the Department of Nephrology (Alqaedi), Taif Children Hospital, from the Department of Medicine (H. A. Althobaiti), King Faisal Medical Complex, from the Department of Medicine (Algethami), Alhada Armed Forces Hospital, Taif, from the Department of Neurology (Sibyani), National Guard Health Affairs, from the Department of Neurology (Alrbaiai), King Abdullah Medical Complex, Directorate of Health Affairs, Jeddah, and from the Department of Emergency Medicine (Almalki), Riyadh Second Health Cluster, Riyadh, Kingdom of Saudi Arabia.
| | - Ghaida T. Alrbaiai
- From the Department of Medicine (Mubaraki); from the College of Medicine (Atallah, Basfar), Taif University, from the Department of Internal Medicine (Alotaibi), King Abdulaziz Specialist Hospital; from the Department of Medicine (Y. A. Althobaiti), King Abdulaziz Specialist Hospital, from the Department of Nephrology (Alqaedi), Taif Children Hospital, from the Department of Medicine (H. A. Althobaiti), King Faisal Medical Complex, from the Department of Medicine (Algethami), Alhada Armed Forces Hospital, Taif, from the Department of Neurology (Sibyani), National Guard Health Affairs, from the Department of Neurology (Alrbaiai), King Abdullah Medical Complex, Directorate of Health Affairs, Jeddah, and from the Department of Emergency Medicine (Almalki), Riyadh Second Health Cluster, Riyadh, Kingdom of Saudi Arabia.
| | - Haneen S. Almalki
- From the Department of Medicine (Mubaraki); from the College of Medicine (Atallah, Basfar), Taif University, from the Department of Internal Medicine (Alotaibi), King Abdulaziz Specialist Hospital; from the Department of Medicine (Y. A. Althobaiti), King Abdulaziz Specialist Hospital, from the Department of Nephrology (Alqaedi), Taif Children Hospital, from the Department of Medicine (H. A. Althobaiti), King Faisal Medical Complex, from the Department of Medicine (Algethami), Alhada Armed Forces Hospital, Taif, from the Department of Neurology (Sibyani), National Guard Health Affairs, from the Department of Neurology (Alrbaiai), King Abdullah Medical Complex, Directorate of Health Affairs, Jeddah, and from the Department of Emergency Medicine (Almalki), Riyadh Second Health Cluster, Riyadh, Kingdom of Saudi Arabia.
| | - Hashim M. Atallah
- From the Department of Medicine (Mubaraki); from the College of Medicine (Atallah, Basfar), Taif University, from the Department of Internal Medicine (Alotaibi), King Abdulaziz Specialist Hospital; from the Department of Medicine (Y. A. Althobaiti), King Abdulaziz Specialist Hospital, from the Department of Nephrology (Alqaedi), Taif Children Hospital, from the Department of Medicine (H. A. Althobaiti), King Faisal Medical Complex, from the Department of Medicine (Algethami), Alhada Armed Forces Hospital, Taif, from the Department of Neurology (Sibyani), National Guard Health Affairs, from the Department of Neurology (Alrbaiai), King Abdullah Medical Complex, Directorate of Health Affairs, Jeddah, and from the Department of Emergency Medicine (Almalki), Riyadh Second Health Cluster, Riyadh, Kingdom of Saudi Arabia.
| | - Abdullah S. Basfar
- From the Department of Medicine (Mubaraki); from the College of Medicine (Atallah, Basfar), Taif University, from the Department of Internal Medicine (Alotaibi), King Abdulaziz Specialist Hospital; from the Department of Medicine (Y. A. Althobaiti), King Abdulaziz Specialist Hospital, from the Department of Nephrology (Alqaedi), Taif Children Hospital, from the Department of Medicine (H. A. Althobaiti), King Faisal Medical Complex, from the Department of Medicine (Algethami), Alhada Armed Forces Hospital, Taif, from the Department of Neurology (Sibyani), National Guard Health Affairs, from the Department of Neurology (Alrbaiai), King Abdullah Medical Complex, Directorate of Health Affairs, Jeddah, and from the Department of Emergency Medicine (Almalki), Riyadh Second Health Cluster, Riyadh, Kingdom of Saudi Arabia.
| | - Asrar Alqaedi
- From the Department of Medicine (Mubaraki); from the College of Medicine (Atallah, Basfar), Taif University, from the Department of Internal Medicine (Alotaibi), King Abdulaziz Specialist Hospital; from the Department of Medicine (Y. A. Althobaiti), King Abdulaziz Specialist Hospital, from the Department of Nephrology (Alqaedi), Taif Children Hospital, from the Department of Medicine (H. A. Althobaiti), King Faisal Medical Complex, from the Department of Medicine (Algethami), Alhada Armed Forces Hospital, Taif, from the Department of Neurology (Sibyani), National Guard Health Affairs, from the Department of Neurology (Alrbaiai), King Abdullah Medical Complex, Directorate of Health Affairs, Jeddah, and from the Department of Emergency Medicine (Almalki), Riyadh Second Health Cluster, Riyadh, Kingdom of Saudi Arabia.
| | - Hisham A. Althobaiti
- From the Department of Medicine (Mubaraki); from the College of Medicine (Atallah, Basfar), Taif University, from the Department of Internal Medicine (Alotaibi), King Abdulaziz Specialist Hospital; from the Department of Medicine (Y. A. Althobaiti), King Abdulaziz Specialist Hospital, from the Department of Nephrology (Alqaedi), Taif Children Hospital, from the Department of Medicine (H. A. Althobaiti), King Faisal Medical Complex, from the Department of Medicine (Algethami), Alhada Armed Forces Hospital, Taif, from the Department of Neurology (Sibyani), National Guard Health Affairs, from the Department of Neurology (Alrbaiai), King Abdullah Medical Complex, Directorate of Health Affairs, Jeddah, and from the Department of Emergency Medicine (Almalki), Riyadh Second Health Cluster, Riyadh, Kingdom of Saudi Arabia.
| | - Mohammed M. Algethami
- From the Department of Medicine (Mubaraki); from the College of Medicine (Atallah, Basfar), Taif University, from the Department of Internal Medicine (Alotaibi), King Abdulaziz Specialist Hospital; from the Department of Medicine (Y. A. Althobaiti), King Abdulaziz Specialist Hospital, from the Department of Nephrology (Alqaedi), Taif Children Hospital, from the Department of Medicine (H. A. Althobaiti), King Faisal Medical Complex, from the Department of Medicine (Algethami), Alhada Armed Forces Hospital, Taif, from the Department of Neurology (Sibyani), National Guard Health Affairs, from the Department of Neurology (Alrbaiai), King Abdullah Medical Complex, Directorate of Health Affairs, Jeddah, and from the Department of Emergency Medicine (Almalki), Riyadh Second Health Cluster, Riyadh, Kingdom of Saudi Arabia.
| | - Youssef A. Althobaiti
- From the Department of Medicine (Mubaraki); from the College of Medicine (Atallah, Basfar), Taif University, from the Department of Internal Medicine (Alotaibi), King Abdulaziz Specialist Hospital; from the Department of Medicine (Y. A. Althobaiti), King Abdulaziz Specialist Hospital, from the Department of Nephrology (Alqaedi), Taif Children Hospital, from the Department of Medicine (H. A. Althobaiti), King Faisal Medical Complex, from the Department of Medicine (Algethami), Alhada Armed Forces Hospital, Taif, from the Department of Neurology (Sibyani), National Guard Health Affairs, from the Department of Neurology (Alrbaiai), King Abdullah Medical Complex, Directorate of Health Affairs, Jeddah, and from the Department of Emergency Medicine (Almalki), Riyadh Second Health Cluster, Riyadh, Kingdom of Saudi Arabia.
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