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Table 5 Interaction analyses of Lp-PLA2 activity with CV death and MACE occurrence across different subgroups

From: Lipoprotein-associated phospholipase A2 predicts cardiovascular death in patients on maintenance hemodialysis: a 7-year prospective cohort study

CV death

Events/Total

Unadjusted

P for Interaction

Adjusted

P for Interaction

HR (95% CI)

P

HR (95% CI)

P

Lp-PLA2 (as a dichotomous variable)

Sex

   

0.247

  

0.385

 Male

43/223

1.68(0.91–3.11)

0.096

 

2.06(1.04–4.08)

0.038

 

 Female

34/138

3.01(1.36–6.67)

0.007

 

3.95(1.68–9.23)

0.002

 

Age

   

0.329

  

0.53

  ≥ 60

57/198

2.24(1.29–3.89)

0.004

 

2.65(1.49–4.69)

0.001

 

  < 60

20/163

2.21(0.85–5.75)

0.105

 

2.70(0.91–7.99)

0.074

 

History of diabetes

 

0.313

  

0.205

 Yes

27/86

3.06(1.34–7.02)

0.008

 

3.99(1.67–9.54)

0.002

 

 No

50/275

1.87(1.04–3.35)

0.037

 

2.21(1.20–4.06)

0.011

 

History of CAD

  

0.399

  

0.774

 Yes

15/37

3.27(1.16–9.23)

0.025

 

2.05(0.65–6.50)

0.221

 

 No

62/324

2.26(1.31–3.92)

0.004

 

2.70(1.54–4.73)

0.001

 

LDL-c (mmol/L)

  

0.821

  

0.733

  ≥ 2.45

36/181

2.44(1.01–5.86)

0.046

 

2.68(1.06–6.78)

0.037

 

  < 2.45

41/180

2.74(1.48–5.07)

0.001

 

3.81(1.88–7.71)

 < 0.001

 

HDL-c (mmol/L)

  

0.771

  

0.470

  ≥ 1.03

39/184

1.98(1.03–3.81)

0.04

 

2.04(1.02–4.09)

0.045

 

  < 1.03

38/177

2.30(1.14–4.63)

0.02

 

3.50(1.65–7.44)

0.001

 

TG (mmol/L)

  

0.745

  

0.576

  ≥ 1.29

39/182

2.39(1.14–5.05)

0.022

 

3.30(1.48–7.37)

0.004

 

  < 1.29

38/179

2.03(1.06–3.86)

0.032

 

2.43(1.25–4.74)

0.009

 

Lp-PLA2 (as a continuous variable)(per 100U/L)

Sex

   

0.169

  

0.25

 Male

43/223

1.09(0.93–1.28)

0.271

 

1.20(0.99–1.46)

0.064

 

 Female

34/138

1.29(1.09–1.52)

0.003

 

1.33(1.12–1.59)

0.002

 

Age

   

0.854

  

0.712

  ≥ 60

57/198

1.19(1.04–1.35)

0.1

 

1.22(1.06–1.40)

0.006

 

  < 60

20/163

1.21(0.97–1.53)

0.096

 

1.28(0.99–1.65)

0.053

 

History of diabetes

 

0.11

  

0.086

 Yes

27/86

1.47(1.13–1.90)

0.004

 

1.53(1.17–2.01)

0.002

 

 No

50/275

1.16(1.01–1.33)

0.041

 

1.21(1.04–1.41)

0.015

 

History of CAD

  

0.379

  

0.688

 Yes

15/37

1.31(0.99–1.74)

0.059

 

1.09(0.73–1.64)

0.667

 

 No

62/324

1.19(1.06–1.35)

0.007

 

1.27(1.11–1.46)

0.001

 

LDL-c (mmol/L)

  

0.317

  

0.061

  ≥ 2.45

36/181

1.15(0.96–1.38)

0.116

 

1.16(0.95–1.42)

0.135

 

  < 2.45

41/180

1.30(1.12–1.52)

0.001

 

1.62(1.29–2.04)

 < 0.001

 

HDL-c (mmol/L)

  

0.923

  

0.122

  ≥ 1.03

39/184

1.17(1.00–1.37)

0.047

 

1.21(1.01–1.46)

0.043

 

  < 1.03

38/177

1.20(1.01–1.41)

0.041

 

1.33(1.11–1.60)

0.002

 

TG (mmol/L)

  

0.574

  

0.879

  ≥ 1.29

39/182

1.17(1.00–1.36)

0.048

 

1.25(1.05–1.49)

0.011

 

  < 1.29

38/179

1.25(1.03–1.52)

0.026

 

1.35(1.08–1.68)

0.008

 

MACEs

Events/Total

Unadjusted

P for Interaction

Adjusted

P for Interaction

HR (95% CI)

P

HR (95% CI)

P

Lp-PLA2 (as a dichotomous variable)

Sex

   

0.105

  

0.311

 Male

51/223

1.35(0.78–2.35)

0.285

 

1.72(0.93–3.18)

0.087

 

 Female

37/138

2.91(1.37–6.17)

0.005

 

3.99(1.78–8.94)

0.001

 

Age

   

0.595

  

0.246

  ≥ 60

67/198

1.80(1.10–2.95)

0.019

 

2.10(1.26–3.49)

0.004

 

  < 60

21/163

2.39(0.93–6.15)

0.072

 

3.10(1.02–9.41)

0.047

 

History of diabetes

 

0.352

  

0.282

 Yes

29/86

2.50(1.16–5.40)

0.019

 

2.77(1.25–6.13)

0.012

 

 No

59/275

1.64(0.97–2.77)

0.068

 

1.97(1.14–3.41)

0.016

 

History of CAD

  

0.332

  

0.914

 Yes

16/37

2.81(1.03–7.62)

0.043

 

1.86(0.54–6.43)

0.325

 

 No

72/324

1.88(1.15–3.07)

0.012

 

2.25(1.35–3.75)

0.002

 

LDL-c (mmol/L)

  

0.965

  

0.993

  ≥ 2.45

42/181

2.14(0.99–4.61)

0.054

 

2.39(1.05–5.44)

0.039

 

  < 2.45

46/180

2.18(1.22–3.88)

0.008

 

2.59(1.36–4.95)

0.004

 

HDL-c (mmol/L)

  

0.792

  

0.540

  ≥ 1.03

43/184

1.71(0.93–3.15)

0.087

 

1.72(0.90–3.29)

0.102

 

  < 1.03

45/177

1.93(1.04–3.59)

0.038

 

2.77(1.41–5.46)

0.033

 

TG (mmol/L)

  

0.956

  

0.739

  ≥ 1.29

46/182

1.85(0.98–3.52)

0.059

 

2.38(1.19–4.76)

0.014

 

  < 1.29

42/179

1.80(0.98–3.30)

0.059

 

1.95(1.02–3.75)

0.044

 

Lp-PLA2 (as a continuous variable)(per 100U/L)

    

Sex

   

0.055

  

0.409

 Male

51/223

1.03(0.89–1.20)

0.692

 

1.12(0.93–1.34)

0.24

 

 Female

37/138

1.28(1.09–1.51)

0.002

 

1.35(1.13–1.61)

 < 0.001

 

Age

   

0.343

  

0.804

  ≥ 60

67/198

1.12(0.99–1.27)

0.065

 

1.15(1.01–1.32)

0.04

 

  < 60

21/163

1.27(1.01–1.59)

0.038

 

1.37(1.03–1.81)

0.028

 

History of diabetes

 

0.238

  

0.189

 Yes

29/86

1.33(1.04–1.71)

0.022

 

1.35(1.04–1.75)

0.023

 

 No

59/275

1.12(0.99–1.28)

0.073

 

1.17(1.02–1.35)

0.03

 

History of CAD

  

0.386

  

0.831

 Yes

16/37

1.26(0.96–1.66)

0.096

 

1.15(0.79–1.68)

0.473

 

 No

72/324

1.15(1.02–1.29)

0.026

 

1.26(1.07–1.40)

0.003

 

LDL-c (mmol/L)

  

0.398

  

0.246

  ≥ 2.45

42/181

1.12(0.95–1.33)

0.170

 

1.16(0.97–1.40)

0.106

 

  < 2.45

46/180

1.24(1.07–1.44)

0.006

 

1.40(1.12–1.74)

0.003

 

HDL-c (mmol/L)

  

0.906

  

0.880

  ≥ 1.03

43/184

1.13(0.97–1.31)

0.114

 

1.15(0.97–1.36)

0.118

 

  < 1.03

45/177

1.15(0.98–1.34)

0.079

 

1.27(1.07–1.51)

0.008

 

TG (mmol/L)

  

0.587

  

0.929

  ≥ 1.29

46.182

1.12(0.97–1.29)

0.117

 

1.21(1.03–1.42)

0.018

 

  < 1.29

42/179

1.19(0.99–1.44)

0.066

 

1.22(0.99–1.50)

0.061

 
  1. Covariates adjusted for CV death: age, dialysis vintage, vascular access, BMI, history of diabetes, coronary artery disease, albumin, hsCRP, creatine, uric acid, hs-cTNT, NT-proBNP. Covariates adjusted for MACE: age, dialysis vintage, vascular access, history of diabetes, coronary artery disease, history of taking ACEI, albumin, prealbumin, hs-CRP, creatine, uric acid, hs-cTNT, NT-proBNP