The systemic inflammation indexes predict all-cause mortality in peritoneal dialysis patients
Background Chronic inflammation is a common complication in peritoneal dialysis (PD) patients. The aim of this study is to investigate the capacity of aggregate index of systemic inflammation (AISI), systemic immune-inflammation index (SII), and systemic inflammation response index (SIRI) to predict...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Renal Failure |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/0886022X.2022.2160348 |
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| author | Yan Yang Yuanyuan Xu Shusu Liu Peiyu Lu Hua Zhou Min Yang |
| author_facet | Yan Yang Yuanyuan Xu Shusu Liu Peiyu Lu Hua Zhou Min Yang |
| author_sort | Yan Yang |
| collection | DOAJ |
| description | Background Chronic inflammation is a common complication in peritoneal dialysis (PD) patients. The aim of this study is to investigate the capacity of aggregate index of systemic inflammation (AISI), systemic immune-inflammation index (SII), and systemic inflammation response index (SIRI) to predict all-cause mortality in PD patients.Methods This was a single-center retrospective study. The optimal cutoff values were identified by receiver operating characteristic (ROC) curve analysis. The area under the curve (AUC) was calculated to evaluate the predictive ability of these indexes. The Kaplan–Meier curves and log-rank test were performed to estimate cumulative survival rate. Cox proportional hazards regression analyses were conducted to determine the independent prognostic power of inflammation indexes.Results A total of 369 incident PD patients were involved. During a median follow-up period of 32.83 months, 65 patients (24.2%) died. The ROC analysis indicated the largest value of AUC was obtained for SII (AUC = 0.644, 95% CI = 0.573–0.715, p < .001), followed in order by AISI (AUC = 0.617, 95% CI = 0.541–0.693, p = .003), and SIRI (AUC = 0.612, 95% CI = 0.535–0.688, p = .004). The Kaplan–Meier survival curves revealed significantly lower survival rate with higher AISI (p = .001), higher SSI (p = .001), and higher SIRI (p = .003). Even after adjustment for the confounding factors, higher AISI [hazard ratio (HR)=2.508, 95% confidence intervals (CI)=1.505–4.179, p < .001), SII (HR = 3.477, 95% CI = 1.785–6.775, p < .001), and SIRI (HR = 1.711, 95% CI = 1.012–2.895, p = .045) remained as independent predictors of all-cause mortality.Conclusions The higher AISI, SII, and SIRI were independent indicators of all-cause mortality in PD patients. Furthermore, they could provide comparable predictive value and assist clinicians to ameliorate PD management. |
| format | Article |
| id | doaj-art-bbfbf4351ffa43f7b8084712cf02bb60 |
| institution | OA Journals |
| issn | 0886-022X 1525-6049 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj-art-bbfbf4351ffa43f7b8084712cf02bb602025-08-20T02:28:46ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492023-12-0145110.1080/0886022X.2022.2160348The systemic inflammation indexes predict all-cause mortality in peritoneal dialysis patientsYan Yang0Yuanyuan Xu1Shusu Liu2Peiyu Lu3Hua Zhou4Min Yang5Department of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaDepartment of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaDepartment of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaDepartment of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaDepartment of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaDepartment of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, ChinaBackground Chronic inflammation is a common complication in peritoneal dialysis (PD) patients. The aim of this study is to investigate the capacity of aggregate index of systemic inflammation (AISI), systemic immune-inflammation index (SII), and systemic inflammation response index (SIRI) to predict all-cause mortality in PD patients.Methods This was a single-center retrospective study. The optimal cutoff values were identified by receiver operating characteristic (ROC) curve analysis. The area under the curve (AUC) was calculated to evaluate the predictive ability of these indexes. The Kaplan–Meier curves and log-rank test were performed to estimate cumulative survival rate. Cox proportional hazards regression analyses were conducted to determine the independent prognostic power of inflammation indexes.Results A total of 369 incident PD patients were involved. During a median follow-up period of 32.83 months, 65 patients (24.2%) died. The ROC analysis indicated the largest value of AUC was obtained for SII (AUC = 0.644, 95% CI = 0.573–0.715, p < .001), followed in order by AISI (AUC = 0.617, 95% CI = 0.541–0.693, p = .003), and SIRI (AUC = 0.612, 95% CI = 0.535–0.688, p = .004). The Kaplan–Meier survival curves revealed significantly lower survival rate with higher AISI (p = .001), higher SSI (p = .001), and higher SIRI (p = .003). Even after adjustment for the confounding factors, higher AISI [hazard ratio (HR)=2.508, 95% confidence intervals (CI)=1.505–4.179, p < .001), SII (HR = 3.477, 95% CI = 1.785–6.775, p < .001), and SIRI (HR = 1.711, 95% CI = 1.012–2.895, p = .045) remained as independent predictors of all-cause mortality.Conclusions The higher AISI, SII, and SIRI were independent indicators of all-cause mortality in PD patients. Furthermore, they could provide comparable predictive value and assist clinicians to ameliorate PD management.https://www.tandfonline.com/doi/10.1080/0886022X.2022.2160348Aggregate index of systemic inflammationsystemic immune-inflammation indexsystemic inflammation response indexperitoneal dialysis |
| spellingShingle | Yan Yang Yuanyuan Xu Shusu Liu Peiyu Lu Hua Zhou Min Yang The systemic inflammation indexes predict all-cause mortality in peritoneal dialysis patients Renal Failure Aggregate index of systemic inflammation systemic immune-inflammation index systemic inflammation response index peritoneal dialysis |
| title | The systemic inflammation indexes predict all-cause mortality in peritoneal dialysis patients |
| title_full | The systemic inflammation indexes predict all-cause mortality in peritoneal dialysis patients |
| title_fullStr | The systemic inflammation indexes predict all-cause mortality in peritoneal dialysis patients |
| title_full_unstemmed | The systemic inflammation indexes predict all-cause mortality in peritoneal dialysis patients |
| title_short | The systemic inflammation indexes predict all-cause mortality in peritoneal dialysis patients |
| title_sort | systemic inflammation indexes predict all cause mortality in peritoneal dialysis patients |
| topic | Aggregate index of systemic inflammation systemic immune-inflammation index systemic inflammation response index peritoneal dialysis |
| url | https://www.tandfonline.com/doi/10.1080/0886022X.2022.2160348 |
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