Table 2.
Associations of Biomarkers of Inflammation With Adverse Outcome Events
Outcome | Events | Rate Per 100 Person‐Years | Marker | Univariable HR (95% CI) | P Value | Adjusted HR (95% CI) | P Value |
---|---|---|---|---|---|---|---|
Hospitalization for heart failure | 447 | 3.04 | hs‐CRP | 1.46 (1.33–1.60) | <0.001 | 1.22 (1.11–1.34) | <0.001 |
IL‐6 | 1.80 (1.67–1.93) | <0.001 | 1.48 (1.35–1.62) | <0.001 | |||
All‐cause mortality | 432 | 2.80 | hs‐CRP | 1.62 (1.48–1.78) | <0.001 | 1.40 (1.27–1.54) | <0.001 |
IL‐6 | 1.97 (1.84–2.11) | <0.001 | 1.67 (1.53–1.81) | <0.001 | |||
Cardiovascular death | 264 | 1.71 | hs‐CRP | 1.54 (1.37–1.73) | <0.001 | 1.31 (1.16–1.49) | <0.001 |
IL‐6 | 1.97 (1.81–2.15) | <0.001 | 1.65 (1.49–1.84) | <0.001 | |||
Ischemic stroke, myocardial infarction or cardiovascular death | 440 | 2.93 | hs‐CRP | 1.42 (1.29–1.55) | <0.001 | 1.27 (1.15–1.39) | <0.001 |
IL‐6 | 1.71 (1.59–1.85) | <0.001 | 1.46 (1.34–1.60) | <0.001 | |||
Ischemic stroke or systemic embolism | 121 | 0.80 | hs‐CRP | 1.22 (1.03–1.46) | 0.026 | 1.21 (1.01–1.45) | 0.04 |
IL‐6 | 1.33 (1.13–1.57) | 0.001 | 1.19 (0.99–1.44) | 0.07 |
Because of positively skewed distribution of plasma levels of both hs‐CRP and IL‐6, a logarithmic transformation was performed. Hazard ratios and 95% CIs are shown as per increase in 1SD of log‐transformed concentrations of hs‐CRP and IL‐6, respectively. Multivariable analyses were adjusted for age, sex, history of heart failure, hypertension, diabetes mellitus, prior stroke or transient ischemic attack, history of coronary artery disease, estimated glomerular filtration rate as per Modification of Diet in Renal Disease formula, body mass index, smoking status, anticoagulation use, and study cohort (BEAT‐AF [Basel Atrial Fibrillation] or Swiss‐AF [Swiss Atrial Fibrillation]). Observations in model: 3767 (99.6% complete cases) for hs‐CRP and 3667 (96.9% complete cases) for IL‐6. For patients excluded from the analyses, plasma levels of the respective biomarkers were missing. HR indicates hazard ratio; hs‐CRP, high‐sensitivity C‐reactive protein; and IL‐6, interleukin‐6.