Non-high-density lipoprotein cholesterol may predict the cardio-cerebrovascular risk in patients on maintenance hemodialysis

Non-high-density lipoprotein cholesterol (non-HDL-C) may be an independent risk factor for cardio-cerebrovascular disease (CVD); however, the cutoff level in patients on maintenance hemodialysis (MHD) is unknown. This was a retrospective multicenter study of MHD patients treated at 10 dialysis cente...

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Published inLipids in health and disease Vol. 20; no. 1; pp. 159 - 8
Main Authors Luo, Denggui, Luo, Yueming, Zou, Yanhong, Xu, Yuanzhao, Fu, Bo, Yang, Dong, Yang, Jun, Xu, Cai, Ling, Shuyi, Li, Shunmin, Qi, Airong
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 13.11.2021
BioMed Central
BMC
Subjects
Ability tests
Adult
Age
Aged
Anticoagulants
Blood
Blood platelets
Body mass index
Cardio-cerebrovascular risk
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - etiology
Cardiovascular Diseases - mortality
Care and treatment
Cerebrovascular disease
Cerebrovascular diseases
Cerebrovascular Disorders - etiology
Cerebrovascular Disorders - mortality
Cholesterol
Cholesterol, HDL - blood
Cholesterol, LDL
Cholesterol, LDL - blood
Chronic kidney failure
Creatinine
Female
Health aspects
Hemodialysis
Hemodialysis patients
Hemoglobin
High density lipoprotein
Humans
Kaplan-Meier Estimate
Laboratories
Lipids
Lipoproteins
Maintenance hemodialysis
Male
Measurement
Middle Aged
Mortality
Non-LDL-C
Patients
Prognosis
Proteins
Renal Dialysis - adverse effects
Renal Dialysis - mortality
Retrospective Studies
Risk Factors
Software
Triglycerides
Triglycerides - blood
Uric acid
China
Maintenance hemodialysis
Non-LDL-C
Cardio-cerebrovascular risk
Online AccessGet full text
ISSN1476-511X
1476-511X
DOI10.1186/s12944-021-01546-1

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Abstract Non-high-density lipoprotein cholesterol (non-HDL-C) may be an independent risk factor for cardio-cerebrovascular disease (CVD); however, the cutoff level in patients on maintenance hemodialysis (MHD) is unknown. This was a retrospective multicenter study of MHD patients treated at 10 dialysis centers in Guangdong Province from July 1, 2016, to April 1, 2017. Laboratory test data were collected and CVD complications and outcomes recorded. In total, 1288 eligible patients were included in this study; the non-HDL-C interquartile range was 2.76 (2.24-3.45) mmol/L. Over a median follow-up time of 24 months, 141 patients developed CVD. The non-HDL-C level was a principal risk factor for such events (P < 0.05; 95% confidence interval 0.800-0.842). The maximum Youden index was 0.549 and the best cutoff > 3.39 mmol/L. Higher baseline non-HDL-C levels may increase the CVD risk in MHD patients. Thus, non-HDL-C effectively predicts CVD.
AbstractList Background Non-high-density lipoprotein cholesterol (non-HDL-C) may be an independent risk factor for cardio-cerebrovascular disease (CVD); however, the cutoff level in patients on maintenance hemodialysis (MHD) is unknown. Methods This was a retrospective multicenter study of MHD patients treated at 10 dialysis centers in Guangdong Province from July 1, 2016, to April 1, 2017. Laboratory test data were collected and CVD complications and outcomes recorded. Results In total, 1288 eligible patients were included in this study; the non-HDL-C interquartile range was 2.76 (2.24–3.45) mmol/L. Over a median follow-up time of 24 months, 141 patients developed CVD. The non-HDL-C level was a principal risk factor for such events (P < 0.05; 95% confidence interval 0.800–0.842). The maximum Youden index was 0.549 and the best cutoff > 3.39 mmol/L. Conclusion Higher baseline non-HDL-C levels may increase the CVD risk in MHD patients. Thus, non-HDL-C effectively predicts CVD.
Abstract Background Non-high-density lipoprotein cholesterol (non-HDL-C) may be an independent risk factor for cardio-cerebrovascular disease (CVD); however, the cutoff level in patients on maintenance hemodialysis (MHD) is unknown. Methods This was a retrospective multicenter study of MHD patients treated at 10 dialysis centers in Guangdong Province from July 1, 2016, to April 1, 2017. Laboratory test data were collected and CVD complications and outcomes recorded. Results In total, 1288 eligible patients were included in this study; the non-HDL-C interquartile range was 2.76 (2.24–3.45) mmol/L. Over a median follow-up time of 24 months, 141 patients developed CVD. The non-HDL-C level was a principal risk factor for such events (P < 0.05; 95% confidence interval 0.800–0.842). The maximum Youden index was 0.549 and the best cutoff > 3.39 mmol/L. Conclusion Higher baseline non-HDL-C levels may increase the CVD risk in MHD patients. Thus, non-HDL-C effectively predicts CVD.
Non-high-density lipoprotein cholesterol (non-HDL-C) may be an independent risk factor for cardio-cerebrovascular disease (CVD); however, the cutoff level in patients on maintenance hemodialysis (MHD) is unknown. This was a retrospective multicenter study of MHD patients treated at 10 dialysis centers in Guangdong Province from July 1, 2016, to April 1, 2017. Laboratory test data were collected and CVD complications and outcomes recorded. In total, 1288 eligible patients were included in this study; the non-HDL-C interquartile range was 2.76 (2.24-3.45) mmol/L. Over a median follow-up time of 24 months, 141 patients developed CVD. The non-HDL-C level was a principal risk factor for such events (P < 0.05; 95% confidence interval 0.800-0.842). The maximum Youden index was 0.549 and the best cutoff > 3.39 mmol/L. Higher baseline non-HDL-C levels may increase the CVD risk in MHD patients. Thus, non-HDL-C effectively predicts CVD.
Background Non-high-density lipoprotein cholesterol (non-HDL-C) may be an independent risk factor for cardio-cerebrovascular disease (CVD); however, the cutoff level in patients on maintenance hemodialysis (MHD) is unknown. Methods This was a retrospective multicenter study of MHD patients treated at 10 dialysis centers in Guangdong Province from July 1, 2016, to April 1, 2017. Laboratory test data were collected and CVD complications and outcomes recorded. Results In total, 1288 eligible patients were included in this study; the non-HDL-C interquartile range was 2.76 (2.24-3.45) mmol/L. Over a median follow-up time of 24 months, 141 patients developed CVD. The non-HDL-C level was a principal risk factor for such events (P < 0.05; 95% confidence interval 0.800-0.842). The maximum Youden index was 0.549 and the best cutoff > 3.39 mmol/L. Conclusion Higher baseline non-HDL-C levels may increase the CVD risk in MHD patients. Thus, non-HDL-C effectively predicts CVD. Keywords: Non-LDL-C, Cardio-cerebrovascular risk, Maintenance hemodialysis
Non-high-density lipoprotein cholesterol (non-HDL-C) may be an independent risk factor for cardio-cerebrovascular disease (CVD); however, the cutoff level in patients on maintenance hemodialysis (MHD) is unknown. This was a retrospective multicenter study of MHD patients treated at 10 dialysis centers in Guangdong Province from July 1, 2016, to April 1, 2017. Laboratory test data were collected and CVD complications and outcomes recorded. In total, 1288 eligible patients were included in this study; the non-HDL-C interquartile range was 2.76 (2.24-3.45) mmol/L. Over a median follow-up time of 24 months, 141 patients developed CVD. The non-HDL-C level was a principal risk factor for such events (P < 0.05; 95% confidence interval 0.800-0.842). The maximum Youden index was 0.549 and the best cutoff > 3.39 mmol/L. Higher baseline non-HDL-C levels may increase the CVD risk in MHD patients. Thus, non-HDL-C effectively predicts CVD.
Non-high-density lipoprotein cholesterol (non-HDL-C) may be an independent risk factor for cardio-cerebrovascular disease (CVD); however, the cutoff level in patients on maintenance hemodialysis (MHD) is unknown.BACKGROUNDNon-high-density lipoprotein cholesterol (non-HDL-C) may be an independent risk factor for cardio-cerebrovascular disease (CVD); however, the cutoff level in patients on maintenance hemodialysis (MHD) is unknown.This was a retrospective multicenter study of MHD patients treated at 10 dialysis centers in Guangdong Province from July 1, 2016, to April 1, 2017. Laboratory test data were collected and CVD complications and outcomes recorded.METHODSThis was a retrospective multicenter study of MHD patients treated at 10 dialysis centers in Guangdong Province from July 1, 2016, to April 1, 2017. Laboratory test data were collected and CVD complications and outcomes recorded.In total, 1288 eligible patients were included in this study; the non-HDL-C interquartile range was 2.76 (2.24-3.45) mmol/L. Over a median follow-up time of 24 months, 141 patients developed CVD. The non-HDL-C level was a principal risk factor for such events (P < 0.05; 95% confidence interval 0.800-0.842). The maximum Youden index was 0.549 and the best cutoff > 3.39 mmol/L.RESULTSIn total, 1288 eligible patients were included in this study; the non-HDL-C interquartile range was 2.76 (2.24-3.45) mmol/L. Over a median follow-up time of 24 months, 141 patients developed CVD. The non-HDL-C level was a principal risk factor for such events (P < 0.05; 95% confidence interval 0.800-0.842). The maximum Youden index was 0.549 and the best cutoff > 3.39 mmol/L.Higher baseline non-HDL-C levels may increase the CVD risk in MHD patients. Thus, non-HDL-C effectively predicts CVD.CONCLUSIONHigher baseline non-HDL-C levels may increase the CVD risk in MHD patients. Thus, non-HDL-C effectively predicts CVD.
ArticleNumber 159
Audience Academic
Author Luo, Yueming
Ling, Shuyi
Luo, Denggui
Zou, Yanhong
Xu, Yuanzhao
Yang, Jun
Fu, Bo
Yang, Dong
Qi, Airong
Xu, Cai
Li, Shunmin
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CitedBy_id crossref_primary_10_3390_toxins16060254
crossref_primary_10_1111_eci_14235
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Issue 1
Keywords Maintenance hemodialysis
Non-LDL-C
Cardio-cerebrovascular risk
Language English
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Snippet Non-high-density lipoprotein cholesterol (non-HDL-C) may be an independent risk factor for cardio-cerebrovascular disease (CVD); however, the cutoff level in...
Background Non-high-density lipoprotein cholesterol (non-HDL-C) may be an independent risk factor for cardio-cerebrovascular disease (CVD); however, the cutoff...
Abstract Background Non-high-density lipoprotein cholesterol (non-HDL-C) may be an independent risk factor for cardio-cerebrovascular disease (CVD); however,...
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SubjectTerms Ability tests
Adult
Age
Aged
Anticoagulants
Blood
Blood platelets
Body mass index
Cardio-cerebrovascular risk
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - etiology
Cardiovascular Diseases - mortality
Care and treatment
Cerebrovascular disease
Cerebrovascular diseases
Cerebrovascular Disorders - etiology
Cerebrovascular Disorders - mortality
Cholesterol
Cholesterol, HDL - blood
Cholesterol, LDL
Cholesterol, LDL - blood
Chronic kidney failure
Creatinine
Female
Health aspects
Hemodialysis
Hemodialysis patients
Hemoglobin
High density lipoprotein
Humans
Kaplan-Meier Estimate
Laboratories
Lipids
Lipoproteins
Maintenance hemodialysis
Male
Measurement
Middle Aged
Mortality
Non-LDL-C
Patients
Prognosis
Proteins
Renal Dialysis - adverse effects
Renal Dialysis - mortality
Retrospective Studies
Risk Factors
Software
Triglycerides
Triglycerides - blood
Uric acid
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Title Non-high-density lipoprotein cholesterol may predict the cardio-cerebrovascular risk in patients on maintenance hemodialysis
URI https://www.ncbi.nlm.nih.gov/pubmed/34774042
https://www.proquest.com/docview/2599180013
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https://pubmed.ncbi.nlm.nih.gov/PMC8590291
https://doaj.org/article/219adba0f7cb4230a40d3af7019c4ca0
Volume 20
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