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Title:

C-reactive protein as a predictor of cardiovascular events in elderly patients with chronic kidney disease.

Document type:
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Article
Author(s):
Jalal, D; Chonchol, M; Etgen, T; Sander, D
Abstract:
Few studies have evaluated the relationship between high-sensitivity C-reactive protein (hs-CRP) and vascular events in the elderly with chronic kidney disease (CKD).The association of hs-CRP with vascular events was examined according to CKD status in 3,166 participants of the Intervention Project on Cerebrovascular Diseases and Dementia in the Community of Ebersberg, Bavaria (INVADE study). CKD was defined as a creatinine clearance <60 ml/min estimated by the Cockcroft-Gault formula. hs-CRP was used as a binary variable > or <2.1 mg/L (median value). Vascular events were defined as a composite of myocardial infarction, stroke and vascular death.After 4 years of follow-up, 204 participants (6.4%) experienced a major cardiovascular event. High hs-CRP levels and CKD at baseline were associated with a greater risk of vascular events. Compared with patients with low hs-CRP and non-CKD, the adjusted hazard ratio (95% confidence interval) for vascular events was 1.42 (1.11-2.21) for low hs-CRP and CKD, 1.57 (1.21-2.34) for high hs-CRP and non-CKD and 1.93 (1.45-2.89) for high hs-CRP and CKD.These results suggest that high hs-CRP levels provide prognostic information in patients with CKD.
Journal title abbreviation:
J Nephrol
Year:
2012
Journal volume:
25
Journal issue:
5
Pages contribution:
719-25
Language:
eng
Fulltext / DOI:
doi:10.5301/jn.5000047
Pubmed ID:
http://view.ncbi.nlm.nih.gov/pubmed/22038335
Print-ISSN:
1121-8428
TUM Institution:
Klinik und Poliklinik für Psychiatrie und Psychotherapie; Neurologische Klinik und Poliklinik
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