Research Article

Matrix Metalloproteinase-7 Associated with Congestive Heart Failure in Peritoneal Dialysis Patients: A Prospective Cohort Study

Table 2

Cox regression analysis for CHF.

VariablesUnadjustedAdjusteda
HR (95% CI)HR (95% CI)

Serum MMP7 (ng/ml)1.089 (1.024-1.159)0.0061.093 (1.015-1.177)0.02
Ln dialysate MMP7 (pg/ml)1.558 (1.212-2.002)0.0011.567 (1.137-2.159)0.006
Age (y)0.986 (0.972-1.001)0.080.997 (0.982-1.014)0.77
Male0.895 (0.609-1.314)0.570.987 (0.576-1.691)0.96
BMI (kg/m2)1.003 (0.986-1.020)0.730.993 (0.972-1.013)0.49
Baseline LVEF, %0.960 (0.941-0.980)<0.0010.966 (0.943-0.989)0.004
Mean dialysate GLUC, %2.669 (1.006-7.077)0.0502.384 (0.716-7.944)0.16
Baseline UF (ml)1.000 (0.999-1.000)0.560.999 (0.999-1.000)0.12
Mean serum ALB (g/l)0.946 (0.907-0.987)0.010.992 (0.942-1.044)0.75
Loss of RRF1.869 (1.259-2.776)0.0021.794 (1.123-2.864)0.01
TKT/V1.049 (0.822-1.338)0.701.098 (0.758-1.590)0.62

Ln dialysate MMP7, BMI, and TKT/V were calculated by the formulas mentioned before. Dialysate glucose concentration, urine volume, serum ALB, and TKT/V were the average values during the first 12 months after dialysis. CHF: congestive heart failure; MMP7: matrix metalloproteinase-7; BMI: body mass index; LVEF: left ventricular ejection fraction; GLUC: glucose concentration; UF: ultrafiltration; ALB: albumin; RRF: residual renal function; HR: hazard ratio; CI: confidence interval. aAdjusted with age, sex, BMI, baseline LVEF, baseline UF, baseline total KT/V, loss of residual renal function, mean dialysate glucose concentration, and serum ALB of the first 12 months after dialysis.