Heart failure & cardiomyopathies

Renal Tubular Damage and Clinical Outcome in Heart Failure with Preserved Ejection Fraction and Chronic Kidney Disease

ESC Heart FailPublished Prospective cohort study

Main finding · HF-related eventsResult — go to the resultHazard ratio 2.60 95% CI 1.52–4.72

Authors' conclusion

RTD, as assessed by a high UBCR, was associated with the severity and clinical outcomes of HFpEF and CKD, indicating that it could be a feasible marker for HF progression.

Study context

Population
Patients with HF with preserved ejection fraction (HFpEF) and chronic kidney disease (CKD) hospitalized for acute heart failure (HF) (49% females, mean age 76 ± 12)91 HF-related events
Participants
319 patients
Exposure
High UBCR vs normal or low UBCR
Outcome
HF-related events:
  • HF hospitalizations
  • HF deaths
Follow-up
Median 5.2 years
Methodological detailsconsecutive patients
  • Consecutive patients

Main finding

HF-related events

Hazard ratio

2.60

95% CI 1.52–4.72

P = 0.0009

High UBCRvs Normal or low UBCR
HR 2.60 (95% CI 1.52–4.72); P = 0.0009

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeC-statisticP value
C-statistic with UBCR addedWith UBCR vs Without UBCR · significant NRI and IDI0.738 vs. 0.684P = 0.0244

Prevalence of high UBCR

Increased with advancing NYHA class and albuminuria

Original publication

Renal Tubular Damage and Clinical Outcome in Heart Failure with Preserved Ejection Fraction and Chronic Kidney Disease. ESC Heart Fail. Published 1 June 2023. doi:10.1002/ehf2.14378

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.