Prevalence of Carotid Artery Calcification in Hemodialysis Patients: A Case–Control Study

Öz

The aim of this study is to determine the prevalence of carotid artery calcification (CAC) in panoramic dental radiographs of chronic hemodialysis patients and to compare the values obtained with the healthy group. Panoramic radiographs of 76 patients (38 with hemodialysis and 38 with control) (age range 15–79 years; mean age 52.89 years) were examined. CAC was defined as the presence of heterogeneous nodular opacities in the soft tissue in C3–C4 intervertebral area on panoramic radiographs. Using Chi-squared tests, calcification prevalence rates were statistically compared. The Statistical Package for the Social Sciences (version 20.0; SPSS, Inc., an IBM Company, Chicago, IL, USA) was used. A probability p <0.05 was considered statistically significant. The prevalence of CAC on the right and left sides was 23.7% (18 patients) and 17.1% (13 patients) for all groups in this study, respectively. The prevalence of right and left CAC in the case group was 34.2% and 26.3%, respectively, while these values were 13.2% and 7.9%, respectively, in the control group. These differences between the case-control groups were statistically significant (p<0.05). While the rate of CAC increased with age (p<0.05), gender was not an effective factor on CAC (p>0.05). Age rather than disease was more effective on CAC according to the regression analysis. CAC was higher in hemodialysis patients than control groups. However, it should be considered that the age has a greater effect on CAC. These patients with such calcifications should be referred for further evaluation and treatment of carotid arteries, coronary arteries and vascular risk factors.

Anahtar Kelimeler

• Carotid artery calcification
• chronic hemodialysis
• panoramic radiography
• risk factors
• vascular calcification

Kaynakça

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