Research Article

A Comparison of GFR Calculated by Cockcroft-Gault vs. MDRD Formula in the Prognostic Assessment of Patients with Acute Pulmonary Embolism

Table 1

General characteristic of all patients and depending on glomerular filtration rate.

All pts. (ml/min/1.73 m2)
(ml/min/1.73 m2)
value (ml/min)
(ml/min)
value

Characteristics
Age (years)71 (18-101)76 (20-101)77 (20-94)0.00479 (20-101)83 (20-101)0.0001
Sex (male/female)1148 (50.4%)/1126 (49.6%)238 (31%)/531 (69%)38 (36%)/68 (64%)0.002385 (43%)/515 (57%)56 (39%)/88 (61%)0.004
BMI (kg/m2) ()26.6 [23.8-30.1]26.6 [24.2-30.1]26.9 [23.9-30.1]Non-significant (NS)25.3 [23.2-28.3]24.2 [22.5-27.7]0.01
HR ()90 [78-105]88 [76-105]93 [75-110]NS89 [76-103]92 [76-110]0.08
SBP ()130 [115-143]130 [110-145]115 [93-140]0.04130 [110-144]119 [100-140]NS
Creatinine (μmol/l)86.6 [70.7-106]120.2 [101.6-145.8]211.3 [171.5-253.7]<0.001107.8 [89.3-138.8]166.2 [141.4-221]<0.001
eGFRMDRD (ml/min/1.73 m2)72.5 [53.3-93]45.5 [35.5-53.5]24.7 [19.5-28]<0.00150.6 [37.4-63.4]29.9 [22.5-36.2]<0.001
eGFRCG (ml/min)70.1 [48.5-99]43.1 [33.1-55.5]24.4 [18.9-33.4]<0.00143.6 [34.4-51.9]24.6 [19.3-27.4]<0.001
NTproBNP (pmol/l) ()87.1 [15.9-350.95]275.5 [75.2-876.6]583.4 [155.7-2155]<0.001300.9 [87.3-1031.5]642.3 [143.5-1539.3]<0.001
CHF ()232 (10%)131 (17%)23 (21.6%)<0.001156 (17%)36 (25%)<0.001
Pulmonary disease ()221 (9.8%)92 (12%)18 (17%)0.004105 (11%)18 (12.5%)NS
Cancer ()379 (17%)129 (16%)21 (20%)NS137 (15%)21 (14%)NS
on TTE ()314 (22%)118 (15%)17 (16%)NS121 (13.4%)19 (13%)NS
Elevated troponin ()738 (39%)305 (39%)55 (52%)<0.001326 (36%)67 (46.5%)0.002

Short-term outcome
30-day bleeding135 (6%)64 (8%)15 (14%)0.00170 (7.7%)17 (12%)0.002
30-day all-cause mortality128 (5.6%)67 (8.7%)15 (14%)<0.00178 (8.6%)26 (18%)<0.001
30-day PE-related mortality69 (3%)41 (5.3%)12 (11%)<0.00149 (5.4%)20 (14%)<0.001

Long-term outcome
180-day mortality208 (9%)94 (12%)23 (21.6%)<0.001107 (12%)32 (22%)0.005

BMI: body mass index; CG: Cockcroft-Gault; CHF: chronic heart failure; eGFR: estimated glomerular filtration rate; HR: heart rate; LV: left ventricle; MDRD: Modification of Diet in Renal Disease; NS: nonsignificant; NTproBNP: N-terminal probrain natriuretic peptide; RV: right ventricle; SBP: systolic blood pressure; TTE: transthoracic echocardiogram. Values in square parenthesis represent quartiles from first to third [Q1-Q3] for the nonparametrical parameters.