NDLI: High Prevalence of Undiagnosed Kidney Disease in Those Presenting with Troponin Positive Acute Coronary Syndrome

Content Provider	Taylor & Francis Online
Author	Horner, Christopher W. M. Abeygunasekara, Sumith C.
Abstract	Aim: The aim of this study is to assess the prevalence and knowledge of chronic kidney disease (CKD) in those presenting to a District General Hospital (DGH) in the United Kingdom with troponin positive acute coronary syndrome (ACS) as compared to a sample of the general population. Methods: A retrospective observational study. Data were collected from ProForma completed during the 18-month period from 1 November 2007 to 30 April 2009. The stage of CKD and the proportion of undocumented CKD at presentation were calculated and the mean stage was compared with the general practice population (of similar demographics) sampled by de Lusignan et al. (Identifying patients with chronic kidney disease from general practice computer records. Fam Pract. 2005;22:234–241.) using the t-test statistics. Results: A total of 936 patients (600 men and 336 women) presented with troponin positive ACS; their mean stage of CKD = 2.874 ± 0.024. This was significantly different from the mean stage of CKD = 1.999 ± 0.004 found within the general population (p < 0.001). About 58.6% of patients with CKD stages 4 or 5 had no knowledge or documentation of their renal impairment. Conclusions: Among those presenting to hospital with troponin positive ACS were many patients with undocumented severe renal impairment, emphasizing the need for general practitioners to screen for renal disease and refer to specialist nephrology services where appropriate. Joint renal and cardiac clinics may offer better care for this group of patients’ long-term care.
Starting Page	845
Ending Page	848
Page Count	4
File Format	PDF HTM / HTML
ISSN	0886022X 15256049
DOI	10.3109/0886022X.2012.690716
Journal	Renal Failure
Volume Number	34
Issue Number	7
Language	English
Publisher	Taylor & Francis
Publisher Date	2012-07-13
Access Restriction	Open
Subject Keyword	Chronic kidney disease Cardiac Troponin General population Acute coronary syndrome
Content Type	Text
Resource Type	Article
Subject	Critical Care and Intensive Care Medicine Nephrology

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