血清血小板分布宽度预测腹膜透析患者心血管和全因死亡率。

IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Heng-Mei Zhu, Yi-Yi Xiong, Yan-Bing Chen, Jun Xiao
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引用次数: 0

摘要

背景:血小板分布宽度(PDW)是心血管疾病(CVD)患者全因死亡率的预测指标。本研究旨在评估PDW在预测腹膜透析(PD)患者心血管和全因死亡率方面的预后意义。方法:从2005年至2017年,回顾性招募来自单一中心的762例PD患者,随访至2021年。主要和次要结局分别是心血管和全因死亡率。生存率分析采用Kaplan-Meier估计和Cox回归分析。结果:在中位52.2个月的随访期间,报告了135例(17.7%)CVD病例和253例(33.2%)全因死亡病例。多因素调整后,高水平的PDW与心血管疾病死亡风险增加相关(HR: 1.583;95% ci: 1.109-2.258;P = 0.011)和全因死亡率(HR: 1.313;95% ci: 1.006-1.758;P = 0.045)。亚组分析显示,女性受试者的PDW与全因死亡率之间存在较强的相关性(相互作用的p值= 0.033)。较高的PDW水平预示女性患者全因死亡风险增加(HR: 1.986;95%可信区间,1.261 - -3.127)。结论:高水平的PDW与PD人群的心血管和全因死亡率独立相关,且PDW与全因死亡率的相关性存在性别差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Serum platelet distribution width predicts cardiovascular and all-cause mortality in patients undergoing peritoneal dialysis.

Background: Platelet distribution width (PDW) is a predictor for all-cause mortality in patients with cardiovascular diseases (CVD). This study aimed to evaluate the prognostic implication of PDW in predicting cardiovascular and all-cause mortality in patients undergoing peritoneal dialysis (PD).

Methods: In total, 762 PD patients from a single center were recruited retrospectively from 2005 to 2017 and followed up until 2021. The primary and secondary outcomes were cardiovascular and all-cause mortality, respectively. Survival analysis was conducted using Kaplan-Meier estimates and Cox regression analysis.

Results: During a median of 52.2 months of follow-up, 135 (17.7%) cases of CVD and 253 (33.2%) cases of all-cause mortality were reported. After multivariate adjustment, high levels of PDW were associated with an increased risk of death from CVD (HR: 1.583; 95% CI: 1.109-2.258; P = 0.011) and all-cause mortality (HR: 1.313; 95% CI: 1.006-1.758; P = 0.045). Subgroup analysis indicated a stronger association between PDW and all-cause mortality among female participants (P-value for interaction = 0.033). Higher levels of PDW predicted an increased risk of all-cause mortality in female patients (HR: 1.986; 95% CI,1.261-3.127).

Conclusion: High levels of PDW are independently associated with cardiovascular and all-cause mortality in the PD population, and differences by sex exist in the association of PDW with all-cause mortality.

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来源期刊
Postgraduate Medicine
Postgraduate Medicine 医学-医学:内科
CiteScore
6.10
自引率
2.40%
发文量
110
审稿时长
6-12 weeks
期刊介绍: Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916,  Postgraduate Medicine  was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.
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