Table 4.
Hazard ratios for primary outcome based on baseline 24-hour urinary sodium and protein excretion
Models | 24-hour urine protein and sodium excretion category |
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---|---|---|---|---|---|---|---|---|
Proteinuria <0.5 g/d Urine sodium <3.4 g/d |
Proteinuria <0.5 g/d Urine sodium ≥3.4 g/d |
Proteinuria ≥0.5 g/d Urine sodium <3.4 g/d |
Proteinuria ≥0.5 g/d Urine sodium ≥3.4 g/d |
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HR (95% CI) | P value | HR (95% CI) | P value | HR (95% CI) | P value | HR (95% CI) | P value | |
Model 1 | Reference | 0.69 (0.38–1.24) | 0.213 | 4.22 (2.77–6.42) | <0.001 | 5.82 (3.82–8.88) | <0.001 | |
Model 2 | Reference | 1.19 (0.64–2.20) | 0.577 | 2.33 (1.51–3.59) | <0.001 | 5.94 (3.73–9.48) | <0.001 | |
Model 3 | Reference | 1.11 (0.60–2.07) | 0.730 | 2.32 (1.50–3.58) | <0.001 | 5.71 (3.58–9.11) | <0.001 |
BMI, body mass index; CCB, calcium channel blocker; CCI, charlson comorbidity index; CI, confidence interval; CKD, chronic kidney disease; DPI, dietary protein intake; eGFR, estimated glomerular filtration rate; HR, hazard ratio; RAAS, renin-angiotensin-aldosterone system.
Model 1: age, sex, BMI, smoking history, primary renal disease, CCI, DPI, and hospital center.
Model 2: model 1 plus systolic blood pressure and laboratory parameters, including hemoglobin, phosphate, eGFR, albumin, total cholesterol, natural log 24-hour urine potassium, and natural log 24-hour urine creatinine.
Model 3: model 2 plus medications, including RAAS blockers, CCB, and diuretics.
The primary outcome was defined as CKD progression, which was defined as the first occurrence of a 50% decline in eGFR from the baseline value, or the onset of kidney failure with replacement therapy, and analysis was performed using a cause-specific model by censoring the death event that occurred before reaching the kidney outcome.