Table 2.
No. of Participants | No. of Heart Failure Events | Rate/y of incident Heart Failure | Demographic*-adjusted HR (95% CI)* | Multivariable**-adjusted HR (95% CI) | Multivariable**+ACR–adjusted HR (95% CI) | |
---|---|---|---|---|---|---|
KIM-1:Cr | ||||||
By quartile | ||||||
Q1: <497 pg/mg | 729 | 129 | 1.72 | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
Q2: 497–814 pg/mg | 734 | 138 | 1.87 | 1.15 (0.90, 1.48) | 1.07 (0.83, 1.38) | 1.04 0.81, 1.34) |
Q3: 815–1239 pg/mg | 729 | 145 | 1.96 | 1.40 (1.08, 1.80) | 1.33 (1.03, 1.71) | 1.25 0.97, 1.60) |
Q4: ≥1240 pg/mg | 725 | 184 | 2.69 | 1.99 (1.54, 2.55) | 1.50 (1.17, 1.93) | 1.32 (1.02, 1.70) |
IL-18:Cr | ||||||
By quartile | ||||||
Q1: <19 pg/mg | 728 | 144 | 1.98 | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
Q2: 19–31 pg/mg | 727 | 144 | 1.97 | 1.06 (0.83, 1.34) | 1.06 (0.84, 1.35) | 1.02 0.80, 1.30) |
Q3: 32–55 pg/mg | 728 | 155 | 2.15 | 1.27 (1.00, 1.62) | 1.26 (0.99, 1.61) | 1.19 0.93, 1.52) |
Q4: ≥56 pg/mg | 734 | 153 | 2.08 | 1.35 (1.05, 1.73) | 1.35 (1.05, 1.73) | 1.15 (0.89, 1.48) |
ACR | ||||||
By quartile | ||||||
Q1: <4.57 mg/g | 743 | 115 | 1.44 | 1.00 (reference) | 1.00 (reference) | 1.00 (reference)† |
Q2: 4.57–8.28 mg/g | 738 | 124 | 1.60 | 1.17 (0.90, 1.52) | 1.17 (0.90, 1.52) | 1.13 0.87, 1.48) |
Q3: 8.29–20.33 mg/g | 735 | 149 | 2.02 | 1.46 (1.14, 1.88) | 1.48 (1.14, 1.91) | 1.42 1.09, 1.83) |
Q4: ≥20.34 mg/g | 701 | 208 | 3.48 | 2.44 (1.92, 3.09) | 1.96 (1.53, 2.51) | 1.84 (1.43, 2.38) |
By clinical cut-points | ||||||
<30 mg/g | 2395 | 431 | 1.74 | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
>30 mg/g | 522 | 165 | 3.81 | 2.19 (1.82, 2.64) | 1.79 (1.47, 2.18) | 1.70 (1.39, 2.08) |
ACR, albumin-creatinine ratio; CI, confidence interval; Cr, creatinine; HR, hazard ratio; KIM-1, kidney injury molecule 1; IL-18, interleukin 18; Q, quartile
Adjusted for age, gender, race, site and education
Further adjusted for diabetes, hypertension, systolic blood pressure, smoking, prevalent coronary heart disease, albumin, C-reactive protein, and estimated glomerular filtration rate.
further adjusted for KIM-1 and IL-18.