Proton Pump Inhibitor Use is Associated With High Risk of Pneumonia in Chronic Kidney Disease Patients
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Purpose
Chronic kidney disease is a severe medical problem in Taiwan public health issue, which the highest incidence and prevalence rate in the world.Proton pump inhibitors may increase the risk of pneumonia appearance, which were caused by profound irreversible gastric acid suppression. The study purpose was to characterize difference of developing pneumonia in chronic kidney disease of prior use proton pump inhibitors.
| Condition |
|---|
|
Chronic Kidney Disease Pneumonia |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Retrospective |
| Official Title: | Institute of Emergency and Critical Care Medicine , School of Yang-Ming University |
| Estimated Enrollment: | 9000 |
| Study Start Date: | March 2012 |
| Estimated Study Completion Date: | June 2012 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
without PPI
CKD without PPI
|
|
with or without Pneumonia outcome
Patients were eligible for inclusion if they received any PPIs treatment between January 1, 1998 and December 31, 2002 and had been diagnosed with pneumonia between January 1, 1998 and December 31, 2008 in an inpatient setting.
|
Detailed Description:
The study used data from Taiwan Health Insurance Research Database; the investigators conducted a population-based cohort study in Taiwan. Case consisted of all patients who had a first diagnosis of chronic kidney disease for the period between 1997 and 2008. The investigators utilized the use of Proton pump inhibitor from chronic kidney disease patients.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
we use the longitudinal health insurance database 2008 (LHID 2008) released by the Taiwan National Health Research Institutes (NHRI) in 2009. Taiwan implemented its National Health Insurance (NHI) program in 1995 to provide affordable health care for all the island's residents.
Inclusion Criteria:
- Chronic kidney disease
Exclusion Criteria:
- excluded those patients who had ever been diagnosed with CKD before 1997
Contacts and Locations
More Information
Publications:
| Responsible Party: | Far Eastern Memorial Hospital |
| ClinicalTrials.gov Identifier: | NCT01588886 History of Changes |
| Other Study ID Numbers: | 101013-E |
| Study First Received: | April 27, 2012 |
| Last Updated: | April 30, 2012 |
| Health Authority: | Taiwan: Institutional Review Board |
Keywords provided by Far Eastern Memorial Hospital:
|
Proton pump inhibitors Pneumonia Retrospective cohort study |
Additional relevant MeSH terms:
|
Kidney Diseases Pneumonia Renal Insufficiency, Chronic Kidney Failure, Chronic Urologic Diseases Lung Diseases Respiratory Tract Diseases |
Respiratory Tract Infections Renal Insufficiency Proton Pump Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 23, 2013