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- W4379523081 abstract "Background Systemic immune inflammatory index (SII) is a new marker of inflammation. SII is associated with increased cancer risk and mortality in cardiovascular and cancer patients. However, the effect of SII on mortality in gout patients is rarely reported in the literature. Objectives To study the relationship between SII level and all-cause mortality in gout patients. Methods This prospective cohort study included participants 20 years or older with gout enrolled from the 2007-2008 through 2017-2018 annual NHANES cycles. The data of mortality and its underlying causes to 31 December 2019 were obtained from the National Death Index records. The SII level was calculated as the platelet counts × neutrophil counts/lymphocyte counts. Gout patients were grouped according to low, middle and high tertile of SII. Generalize linear regression was used to study variables influencing SII. The relationship between SII level and mortality were analyzed by Cox proportional hazards analysis. Results A total of 1334 gout patients were included with median follow-up time 68 months (34 months, 106 months). As shown in the Table 1, gout patients with high SII level were characterized by more having chronic kidney diseases, diabetes mellitus and less fiber intake (P <0.05). The generalized linear model found that SII level was positively correlated with diabetes mellitus (P<0.05), and negatively correlated with men, eGFR, fiber intake (P<0.05). Kaplan Meier survival curve showed that mortality was highest in the high SII group (Figure 1). Cox proportional hazards analysis after multivariable adjustment showed that taking low SII group as the reference group, mortality was elevated in the high SII groups (Table 1). Conclusion High SII is a predictor of all-cause death in gout patients. Table 1. Characteristics of gout patients according to low, middle and high tertile of SII. SII tertile Low (N=445) Middle (N=444) High (N=445) P-value Age, years 60.0(53.0,69.0) 62.0(52.0,70.0) 63.0(54.0,71.0) 0.398 Sex, % 0.407 Male 69.3 (60.1,77.1) 73.1 (67.1,78.3) 66.5(59.8,72.5) Education 0.199 <high school,% 5.0 (3.3,7.5) 5.8 (3.7,8.8) 5.6 (3.9,7.8) High school,% 11.0 (8.0,15.0) 9.1 (6.6,12.4) 10.7 (7.6,14.8) High School Graduate or Equivalent,% 21.3 (16.4,27.2) 23.9 (18.2,30.8) 30.4(24.5,37.0) College and above,% 62.7 (55.7,69.2) 61.2 (54.1,68.0) 53.4(46.5,60.2) Body mass index, kg/m² 30.6(27.0,34.7) 31.2(28.0,35.2) 31.0(27.0,36.4) 0.465 Serum urate (sUA), mg/dL 6.4(5.2,7.4) 6.4(5.5,7.7) 6.6(5.3,7.7) 0.781 Estimated glomerular filtration rate (eGFR), ml/(min·1.73m2) 79.7(63.3,94.0) 78.8(61.5.3,92.8) 73.5(56.6,91.3) 0.060 Chronic kidney disease, % 27.2 (22.0,33.0) 38.9 (32.4,45.9) 40.4(34.4,46.6) 0.004 Cardiovascular disease, % 25.2 (19.8,31.4) 27.5 (22.8,32.8) 30.4(25.4,35.8) 0.387 Diabetes mellitus, % 26.2 (21.9,31.1) 36.7 (29.3,44.7) 38.6(31.8,45.8) 0.018 Hyperlipidemia, % 81.3 (73.6,87.2) 89.2 (85.2,92.1) 83.9(77.6,88.7) 0.075 Hypertension, % 73.7 (67.7,79.0) 75.1 (68.3,80.8) 78.5(72.3,83.6) 0.509 Fiber, g 16.4(10.0,23.3) 14.2(9.5,21.0) 13.2(8.1,19.9) 0.005 Number of death, % 12.1 (9.4,15.4) 15.0 (11.8,19.0) 22.3(18.0,27.3) <0.001 Hazard ratio (95% CI)* 1.0 1.07(0.73,1.58) 1.56(1.01-2.41) - *Hazard ratio analysis were adjusted by age, sex, race, education, BMI, smoking, cardiovascular disease, hyperlipidemia, hypertension and diabetes mellitus, eGFR and dietary covariates. Figure 1. The Kaplan–Meier curves for all-cause mortality by subgroups of SII. REFERENCES: NIL. Acknowledgements: NIL. Disclosure of Interests None Declared." @default.
- W4379523081 created "2023-06-07" @default.
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- W4379523081 date "2023-05-30" @default.
- W4379523081 modified "2023-09-23" @default.
- W4379523081 title "POS0185 SYSTEMIC IMMUNE-INFLAMMATION INDEX TO ALL-CAUSE MORTALITY IN GOUT PATIENTS: NHANES 2007-2018" @default.
- W4379523081 doi "https://doi.org/10.1136/annrheumdis-2023-eular.3874" @default.
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