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

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...

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Autores principales: Denggui Luo, Yueming Luo, Yanhong Zou, Yuanzhao Xu, Bo Fu, Dong Yang, Jun Yang, Cai Xu, Shuyi Ling, Shunmin Li, Airong Qi
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/219adba0f7cb4230a40d3af7019c4ca0
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spelling oai:doaj.org-article:219adba0f7cb4230a40d3af7019c4ca02021-11-14T12:39:42ZNon-high-density lipoprotein cholesterol may predict the cardio-cerebrovascular risk in patients on maintenance hemodialysis10.1186/s12944-021-01546-11476-511Xhttps://doaj.org/article/219adba0f7cb4230a40d3af7019c4ca02021-11-01T00:00:00Zhttps://doi.org/10.1186/s12944-021-01546-1https://doaj.org/toc/1476-511XAbstract 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.Denggui LuoYueming LuoYanhong ZouYuanzhao XuBo FuDong YangJun YangCai XuShuyi LingShunmin LiAirong QiBMCarticleNon-LDL-CCardio-cerebrovascular riskMaintenance hemodialysisNutritional diseases. Deficiency diseasesRC620-627ENLipids in Health and Disease, Vol 20, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Non-LDL-C
Cardio-cerebrovascular risk
Maintenance hemodialysis
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle Non-LDL-C
Cardio-cerebrovascular risk
Maintenance hemodialysis
Nutritional diseases. Deficiency diseases
RC620-627
Denggui Luo
Yueming Luo
Yanhong Zou
Yuanzhao Xu
Bo Fu
Dong Yang
Jun Yang
Cai Xu
Shuyi Ling
Shunmin Li
Airong Qi
Non-high-density lipoprotein cholesterol may predict the cardio-cerebrovascular risk in patients on maintenance hemodialysis
description 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.
format article
author Denggui Luo
Yueming Luo
Yanhong Zou
Yuanzhao Xu
Bo Fu
Dong Yang
Jun Yang
Cai Xu
Shuyi Ling
Shunmin Li
Airong Qi
author_facet Denggui Luo
Yueming Luo
Yanhong Zou
Yuanzhao Xu
Bo Fu
Dong Yang
Jun Yang
Cai Xu
Shuyi Ling
Shunmin Li
Airong Qi
author_sort Denggui Luo
title Non-high-density lipoprotein cholesterol may predict the cardio-cerebrovascular risk in patients on maintenance hemodialysis
title_short Non-high-density lipoprotein cholesterol may predict the cardio-cerebrovascular risk in patients on maintenance hemodialysis
title_full Non-high-density lipoprotein cholesterol may predict the cardio-cerebrovascular risk in patients on maintenance hemodialysis
title_fullStr Non-high-density lipoprotein cholesterol may predict the cardio-cerebrovascular risk in patients on maintenance hemodialysis
title_full_unstemmed Non-high-density lipoprotein cholesterol may predict the cardio-cerebrovascular risk in patients on maintenance hemodialysis
title_sort non-high-density lipoprotein cholesterol may predict the cardio-cerebrovascular risk in patients on maintenance hemodialysis
publisher BMC
publishDate 2021
url https://doaj.org/article/219adba0f7cb4230a40d3af7019c4ca0
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