Severe aortic arch calcification predicts mortality in patients undergoing peritoneal dialysis
Journal
Journal of the Formosan Medical Association
Journal Volume
116
Journal Issue
5
Pages
366-372
Date Issued
2017
Author(s)
Abstract
Background/Purpose Vascular calcification can predict cardiovascular (CV) morbidity and mortality in patients with end-stage renal disease. We evaluated the prevalence, association factors, and outcomes of chest X-ray-detected aortic arch calcification (AoAC) in patients undergoing peritoneal dialysis (PD). Methods We included 190 patients undergoing PD (mean age, 52.6?±?14.3?years) for whom chest radiographs were available. AoAC revealed by chest X-ray was graded from 0 to 3 according to an AoAC score (AoACS). Multiple regression analyses were used to determine the factors associated with AoACS. After adjusting for age, sex, PD duration, diabetes mellitus, mean blood pressure, and history of CV disease, the association between AoAC grading and mortality were assessed using the Kaplan–Meier curve and Cox proportional hazard model. Results Age (p?
SDGs
Other Subjects
ferritin; high density lipoprotein cholesterol; serum albumin; adult; age; aged; albumin blood level; aortography; artery calcification; Article; cardiovascular disease; cardiovascular mortality; cardiovascular risk; cholesterol blood level; clinical outcome; cohort analysis; diabetes mellitus; diabetic nephropathy; diastolic blood pressure; disease association; disease severity; end stage renal disease; event free survival; female; ferritin blood level; follow up; hemodialysis patient; human; major clinical study; male; mean arterial pressure; medical history; middle aged; morbidity; peritoneal dialysis; prediction; prevalence; prognosis; prospective study; sex; survival rate; systolic blood pressure; thorax radiography; treatment duration; aortic disease; blood vessel calcification; chronic kidney failure; complication; diagnostic imaging; evaluation study; Kaplan Meier method; mortality; pathology; peritoneal dialysis; proportional hazards model; radiography; regression analysis; risk factor; thoracic aorta; time factor; Adult; Aged; Aorta, Thoracic; Aortic Diseases; Cardiovascular Diseases; Female; Humans; Kaplan-Meier Estimate; Kidney Failure, Chronic; Male; Middle Aged; Peritoneal Dialysis; Proportional Hazards Models; Radiography; Regression Analysis; Risk Factors; Time Factors; Vascular Calcification
Type
journal article