Association of glomerular hyperfiltration with mortality in stroke: an analysis using pooled individual patient data

Philip S Nash, Gareth Ambler, Jonathan G Best, Duncan Wilson, Houwei Du, Rustam Al-Shahi Salman, Hans Rolf Jäger, Gregory Y H Lip, Simon Fandler-Höfler, Sebastian Eppinger, Kaori Miwa, Masayuki Shiozawa, Masatoshi Koga, Martina B Goeldlin, Morin Beyeler, Philipp Bücke, Marwan El-Koussy, Heinrich P M · 2026

Read Association of glomerular hyperfiltration with mortality in stroke: an analysis using pooled individual patient data by Philip S Nash, Gareth Ambler, Jonathan G Best, Duncan Wilson, Houwei Du, Rustam Al-Shahi Salman, Hans Rolf Jäger, Gregory Y H Lip, Simon Fandler-Höfler, Sebastian Eppinger, Kaori Miwa, Masayuki Shiozawa, Masatoshi Koga, Martina B Goeldlin, Morin Beyeler, Philipp Bücke, Marwan El-Koussy, Heinrich P M (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13160420.txt.

Description

Philip Nash and a large international team ask whether overworking kidneys spell danger after a stroke, in this 2026 study. The trait in question is glomerular hyperfiltration, when the kidneys filter blood faster than is normal for a person's age and sex. It had been tied to death in other groups but barely studied in stroke patients.

The team pooled records for 11,175 stroke and mini-stroke patients from many cohort studies. About five percent met the hyperfiltration mark at presentation. Those patients died at more than twice the rate of the normal-filtration group. After adjustment, their risk of death from any cause was about seventy-six percent higher, and vascular death was also clearly raised. Risk rose at both very low and very high filtration rates, giving a U-shaped pattern. The authors suggest the high end of kidney function deserves the same worry as the low end after stroke.

Catalog record

CREATORPhilip S Nash, Gareth Ambler, Jonathan G Best, Duncan Wilson, Houwei Du, Rustam Al-Shahi Salman, Hans Rolf Jäger, Gregory Y H Lip, Simon Fandler-Höfler, Sebastian Eppinger, Kaori Miwa, Masayuki Shiozawa, Masatoshi Koga, Martina B Goeldlin, Morin Beyeler, Philipp Bücke, Marwan El-Koussy, Heinrich P M
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE64 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13160420

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