Research Article

Association of Serum Uric Acid Concentration and Its Change with Cardiovascular Death and All-Cause Mortality

Table 1

Characteristics of 325 patients with MHD by serum UA quartiles.

Range of uric acidQuartile 1Quartile 2Quartile 3Quartile 4 value
183.759-339.491339.491-384.933384.933-438.25438.25-614.971

Age (year)0.026
Male (%)41 (50.6%)51 (63.0%)51 (63.0%)52 (63.4%)0.266
Female (%)40 (49.4%)30 (37.0%)30 (37.0%)30 (36.6%)
Dialysis vintage (months)0.113
Tunneled cuffed catheter (%)29 (35.8%)27 (33.3%)19 (23.5%)14 (17.1%)0.025
AvF (%)52 (64.2%)54 (66.7%)62 (76.5%)68 (82.9%)
Hypertension (%)80 (98.8%)80 (98.8%)80 (98.8%)82 (100%)0.796
Mean hemoglobin (g/L)0.678
Mean phosphorus (mmol/L)<0.001
Mean calcium (mmol/L)0.675
Mean PTH (μg/L)<0.001
Mean albumin (g/L)0.397
Mean serum uric acid (μmol/L)<0.001
Uric acid variability (%)<0.001
Primary renal disease ()<0.001
 Hypertensive kidney lesion1 (1.2%)8 (9.9%)8 (9.9%)9 (11.0%)
 ANCA1 (1.2%)0 (0.0%)2 (2.5%)0 (0.0%)
 Diabetes57 (70.4%)40 (49.4%)30 (37.0%)20 (24.4%)
 Glomerulonephritis17 (21.0%)24 (29.6%)31 (38.3%)45 (54.9%)
 Drug-induced kidney damage1 (1.2%)0 (0.0%)1 (1.2%)1 (1.2%)
 Polycystic kidney2 (2.5%)4 (4.9%)2 (2.5%)3 (3.7%)
 Renal allograft dysfunction1 (1.2%)1 (1.2%)2 (2.5%)2 (2.4%)
 Lupus nephritis0 (0.0%)0 (0.0%)1 (1.2%)1 (1.2%)
 Obstructive nephropathy1 (1.2%)4 (4.9%)4 (4.9%)1 (1.2%)
Outcome
 All-cause death45 (55.6%)29 (35.8%)23 (28.4%)19 (23.2%)<0.001
 Cardiac death25 (30.9%)12 (14.8%)10 (12.3%)11 (13.4%)0.005

AvF = arteriovenous fistula; PTH = parathyroid hormone;  = number; ANCA = antineutrophil cytoplasmic antibodies; MHD = maintenance hemodialysis; UA = uric acid.