在患有慢性病的患者中,高尿血和全因死亡率之间的非线性关联
Ya-Fei Liu1, Liang Han2, Yin-Hong Geng3
1Department of Nephrology, The First Affiliated Hospital of Zhengzhou University, 1 Jianshe East Road, Zhengzhou, 450052, Henan, China. yafeiliutjh@gmail.com.
Scientific reports
|January 5, 2024
概括
高血清尿酸水平与慢性病 (CKD) 患者的死亡风险增加有关. 这项研究强调了监测CKD患者尿酸的重要性,以获得更好的结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心血管研究研究心血管研究
- 代谢性疾病 代谢性疾病
背景情况:
- 血清尿酸 (SUA) 在慢性病 (CKD) 进展和死亡率的预后价值仍在争论中.
- 需要进行大规模的队列研究,以澄清CKD患者SUA水平和死亡风险之间的关联.
研究的目的:
- 为了研究血清尿酸度和死亡风险之间的关联,在慢性病 (CKD) 患者的大队伍中.
主要方法:
- 利用了来自国家健康和营养检查调查中患有CKD的参与者的数据 (1998-2017).
- 采用多变量Cox回归模型来分析SUA水平和CKD死亡率.
- 应用受限立方斜线曲线来评估协会中的非线性.
主要成果:
- 总共有9891名CKD患者被纳入,在随访期间有3698例死亡.
- 增加的SUA水平与CKD患者的死亡风险增加独立相关 (HR/SD增加).
- 在SUA和死亡率之间观察到非线性关联 (p=0.046),水平≥5.900 mg/dL显示显著增加风险 (HR=1.102).
结论:
- 高血清尿酸水平 (≥5.900 mg/dL) 与慢性病 (CKD) 患者的死亡风险显著增加有关.
- 研究结果表明,在CKD管理策略中对SUA的管理有潜在的治疗意义.
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