Table 5.
Cox proportional analysis for 5-year mortality by initial vascular access for hemodialysis
Variable | All cohort |
< 65 Years |
65–74 Years |
≥ 75 Years |
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---|---|---|---|---|---|---|---|---|
HR (95% CI) | p valuea | HR (95% CI) | p valuea | HR (95% CI) | p valuea | HR (95% CI) | p valuea | |
Percutaneous catheter | ||||||||
Unadjusted | 1.70 (1.38–2.09) | < 0.001 | 1.18 (0.89–1.56) | 0.226 | 2.43 (1.82–3.23) | < 0.001 | 2.78 (1.92–4.03) | < 0.001 |
Adjusted for age | 1.82 (1.47–2.24) | < 0.001 | 1.26 (0.95–1.66) | 0.096 | 2.41 (1.81–3.21) | < 0.001 | 2.72 (1.88–3.95) | < 0.001 |
Model 1 + sex | 1.85 (1.50–2.29) | < 0.001 | 1.27 (0.96–1.68) | 0.087 | 2.43 (1.82–3.23) | < 0.001 | 2.74 (1.89–3.97) | < 0.001 |
Model 2 + diabetes, heart failure | 1.83 (1.49–2.26) | < 0.001 | 1.27 (0.96–1.67) | 0.091 | 2.44 (1.83–3.25) | < 0.001 | 2.74 (1.89–3.98) | < 0.001 |
Model 3 + cardioprotective medicationb | 1.84 (1.51–2.31) | < 0.001 | 1.25 (0.94–1.66) | 0.111 | 2.44 (1.83–3.25) | < 0.001 | 2.77 (1.90–4.03) | < 0.001 |
Model 4 + albumin < 3.5 g/dL | 1.79 (1.45–2.22) | < 0.001 | 1.10 (0.82–1.46) | 0.519 | 2.29 (1.72–3.06) | < 0.001 | 2.51 (1.72–3.69) | < 0.001 |
Model 5 + hemoglobin < 10.0 g/dL | 1.78 (1.44–2.21) | < 0.001 | 1.10 (0.83–1.47) | 0.489 | 2.33 (1.74–3.12) | < 0.001 | 2.49 (1.70–3.66) | < 0.001 |
Model 6 + vascular conversion | 1.64 (1.31–2.05) | < 0.001 | 1.28 (0.89–1.82) | 0.752 | 1.97 (1.35–2.74) | < 0.001 | 1.89 (1.10–3.26) | 0.021 |
Tunneled cuffed catheter | ||||||||
Unadjusted | 1.65 (1.38–1.97) | < 0.001 | 1.28 (0.92–1.78) | 0.134 | 2.27 (1.64–3.13) | < 0.001 | 1.92 (1.23–2.98) | < 0.001 |
Adjusted for age | 1.72 (1.44–2.05) | < 0.001 | 0.90 (0.70–1.16) | 0.424 | 2.27 (1.64–3.13) | < 0.001 | 1.89 (1.21–2.94) | < 0.001 |
Model 1 + sex | 1.73 (1.45–2.07) | < 0.001 | 1.46 (1.05–2.04) | 0.024 | 2.32 (1.68–3.20) | < 0.001 | 1.91 (1.22–2.98) | < 0.001 |
Model 2 + diabetes, heart failure | 1.77 (1.48–2.11) | < 0.001 | 1.48 (1.06–2.07) | 0.019 | 2.30 (1.66–3.17) | < 0.001 | 1.91 (1.23–2.98) | < 0.001 |
Model 3 + cardioprotective medicationb | 1.78 (1.48–2.13) | < 0.001 | 1.46 (1.05–2.04) | 0.025 | 2.25 (1.62–3.11) | < 0.001 | 1.95 (1.25–3.05) | 0.003 |
Model 4 + albumin < 3.5 g/dL | 1.64 (1.39–1.97) | < 0.001 | 1.10 (0.82–1.46) | 0.080 | 2.25 (1.62–3.11) | < 0.001 | 1.89 (1.21–2.96) | 0.005 |
Model 5 + hemoglobin < 10.0 g/dL | 1.64 (1.36–1.98) | < 0.001 | 1.31 (0.93–1.85) | 0.115 | 2.24 (1.61–3.11) | < 0.001 | 1.96 (1.25–3.07) | 0.003 |
Model 6 + vascular conversion | 1.41 (1.13–1.75) | 0.002 | 1.04 (0.74–1.45) | 0.802 | 1.93 (1.35–2.74) | < 0.001 | 1.34 (1.05–2.26) | 0.038 |
HR, hazard ratio; CI, confidence interval.
p value for interaction between vascular access and age group is < 0.001.
One of following: β-blocker, calcium channel blocker, angiotensin converting enzyme inhibitor, angiotensin receptor antagonist medication.