Neutrophil to Lymphocyte Ratio Predicts Adverse Cardiovascular Outcome in Peritoneal Dialysis Patients Younger than 60 Years Old
Joint Authors
Long, Hai-bo
Peng, Fen-Fen
Zeng, Yingsi
Chen, Zijun
Chen, Qinkai
Zhan, Xiaojiang
Zhang, Fengping
Feng, Xiaoran
Zhou, Qian
Liu, Lingling
Peng, Xuan
Evergreen Tree Nephrology Association, Xuan
Guo, Guanhua
Zhang, Yujing
Wang, Zebin
Wen, Yueqiang
Li, Jiao
Liang, Jianbo
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-20
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Neutrophil to lymphocyte ratio (NLR) is a new inflammatory marker; the relationship between NLR and adverse cardiovascular (CV) prognosis has been gradually emphasized in the general population.
However, their association in peritoneal dialysis (PD) patients remains unclear.
Methods.
From January 1, 2010, to May 31, 2017, a total of 1652 patients were recruited.
NLR was categorized in triplicates: NLR≤2.74, 2.74
Kaplan-Meier cumulative incidence curve and multivariable COX regression analysis were used to determine the relationship between NLR and the incidence of adverse CV outcome, while a competitive risk model was applied to assess the effects of other outcomes on adverse CV prognosis.
Besides, forest plot was investigated to analyze the adverse CV prognosis in different subgroups.
Results.
During follow-up, 213 new-onset CV events and 153 CV disease (CVD) deaths were recorded.
Multivariable COX regression models showed that the highest tertile of NLR level was associated with increased risk of CV events (HR=1.39, 95%CI=1.01‐1.93, P=0.046) and CVD mortality (HR=1.81, 95%CI=1.22‐2.69, P=0.003), while compared to the lowest tertile.
Competitive risk models showed that the differences in CV event (P<0.001) and CVD mortality (P=0.004) among different NLR groups were still significant while excluding the effects of other outcomes.
In subgroups, with each 1 increased in the NLR level, adjusted HR of new-onset CV event was 2.02 (95%CI=1.26−3.23, P=0.003) and CVD mortality was 2.98 (95%CI=1.58−5.62, P=0.001) in the younger group (age<60 years).
Conclusions.
NLR is an independent risk factor for adverse CV prognosis in PD patients younger than 60 years old.
American Psychological Association (APA)
Zeng, Yingsi& Chen, Zijun& Chen, Qinkai& Zhan, Xiaojiang& Long, Hai-bo& Peng, Fen-Fen…[et al.]. 2020. Neutrophil to Lymphocyte Ratio Predicts Adverse Cardiovascular Outcome in Peritoneal Dialysis Patients Younger than 60 Years Old. Mediators of Inflammation،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1191775
Modern Language Association (MLA)
Zeng, Yingsi…[et al.]. Neutrophil to Lymphocyte Ratio Predicts Adverse Cardiovascular Outcome in Peritoneal Dialysis Patients Younger than 60 Years Old. Mediators of Inflammation No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1191775
American Medical Association (AMA)
Zeng, Yingsi& Chen, Zijun& Chen, Qinkai& Zhan, Xiaojiang& Long, Hai-bo& Peng, Fen-Fen…[et al.]. Neutrophil to Lymphocyte Ratio Predicts Adverse Cardiovascular Outcome in Peritoneal Dialysis Patients Younger than 60 Years Old. Mediators of Inflammation. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1191775
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1191775