Table 2. Risk of chronic dialysis, dialysis or death, and hyperkalemia associated hospitalization in pre-dialysis stage 5 CKD subjects using ACEI/ARB treatment.
Subjects | Incidence rate (per 100 person-years) | Adjusted HR (95% CI) | |||||||
---|---|---|---|---|---|---|---|---|---|
ACEI/ARB | Dialysis | Death | Dialysis or death | Hyper-kalemia | Dialysis | Death | Dialysis or death | Hyperkalemia | |
All | |||||||||
ARB only | 8,203 | 72.5 | 17.6 | 90.1 | 0.42 | 1.0 (ref.) | 1.0 (ref.) | 1.0 (ref.) | 1.0 (ref.) |
ACEI only | 3,810 | 63.8 | 21.5 | 85.3 | 0.30 | 0.96 (0.92–1.01) | 1.17 (1.07–1.27) * | 1.01(0.96–1.04) | 0.76 (0.52–1.10) |
ACEI /ARB | 1,095 | 75.9 | 21.6 | 97.5 | 0.47 | 1.02 (0.94–1.10) | 1.10 (0.95–1.27) | 1.03 (0.97–1.10) | 0.96 (0.57–1.64) |
ACEI and ARB | 1,009 | 71.1 | 32.4 | 103.5 | 0.68 | 0.95 (0.87–1.04) | 1.49 (1.30–1.71) ** | 1.07 (0.99–1.15) | 1.41 (0.84–2.35) |
With DM | |||||||||
ARB only | 4,826 | 84.2 | 20.4 | 104.6 | 0.63 | 1.0 (ref.) | 1.0 (ref.) | 1.0 (ref.) | 1.0 (ref.) |
ACEI only | 2,000 | 73.1 | 29.5 | 102.6 | 0.46 | 0.96 (0.90–1.02) | 1.32 (1.18–1.48) * | 1.03 (0.98–1.09) | 0.74 (0.47–1.14) |
ACEI /ARB | 673 | 86.8 | 26.8 | 113.6 | 0.54 | 1.02 (0.93–1.13) | 1.17 (0.98–1.40) | 1.05 (0.96–1.14) | 0.76 (0.39–1.48) |
ACEI and ARB | 649 | 81.4 | 40.2 | 121.6 | 0.81 | 0.96 (0.86–1.07) | 1.58 (1.34–1.86) ** | 1.10 (1.01–1.2) * | 1.13 (0.61–2.09) |
Without DM | |||||||||
ARB only | 3,377 | 60.9 | 14.8 | 75.7 | 0.19 | 1.0 (ref.) | 1.0 (ref.) | 1.0 (ref.) | 1.0 (ref.) |
ACEI only | 1,810 | 56.7 | 15.6 | 72.3 | 0.18 | 0.96 (0.90–1.03) | 0.99 (0.86–1.13) | 0.97 (0.91–1.03) | 0.79 (0.39–1.58) |
ACEI /ARB | 422 | 63.9 | 15.9 | 79.8 | 0.38 | 1.01 (0.90–1.14) | 1.02 (0.80–1.30) | 1.01 (0.91–1.13) | 1.77 (0.70–4.44) |
ACEI and ARB | 360 | 47.9 | 18.7 | 66.6 | 0.51 | 0.95 (0.82–1.09) | 1.46 (1.16–1.85) * | 1.06 (0.94–1.19) | 2.74 (1.05–7.15) + |
+p value = 0.04,
*p value = 0.03,
** p value = 0.02,
IR: incidence rate, per 100 person-years.
Multivariate analysis was adjusted for variables as listed in Table 1, ref.: reference