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Table 4 Baseline characteristics associated with incident CAC (among RA patients free of CAC at baseline)

From: Progression of coronary artery atherosclerosis in rheumatoid arthritis: comparison with participants from the Multi-Ethnic Study of Atherosclerosis

 

Incident CAC: yes

Incident CAC: no

P-value

IRR (95% CI)

Adjusted IRRa(95% CI)

Demographics

     

  Age, years

59 ± 7

55 ± 6

0.03

1.06 (1.0, 1.14)

NA

  Male; number (%)

5 (25%)

8 (15%)

0.32

1.65 (0.71, 3.84)

1.81 (0.79, 4.18)

  Caucasian race; number (%)

19 (95%)

44 (83%)

0.18

3.03 (0.45, 20.7)

2.58 (0.39, 17.3)

  Education; number (%)

16 (80%)

44 (83%)

0.76

0.86 (0.33, 2.21)

0.85 (0.32, 2.27)

    Some college or higher

     

Cardiovascular Risk Factors

     

  Diabetes; number (%)

1 (5%)

2 (4%)

0.81

1.14 (0.20, 6.46)

1.08 (0.21, 5.65)

  Hypertension (%)

11 (55%)

21 (40%)

0.24

1.56 (0.73, 3.33)

1.42 (0.67, 3.0)

    Systolic BP, mm Hg

129 ± 17

117 ± 15

0.01

1.03 (1.01, 1.05)

1.02 (1.0, 1.04)*

    Diastolic BP, mm Hg

76 ± 9

72 ± 8

0.09

1.03 (0.99, 1.09)

1.05 (1.01, 1.09)*

  Dyslipidemia (%)

     

    Total cholesterol, mg/dL

201 ± 29

192 ± 41

0.40

1.0 (0.99, 1.01)

1.0 (0.99, 1.01)

    LDL cholesterol, mg/dL

116 ± 20

112 ± 34

0.66

1.0 (0.99, 1.01)

1.0 (0.99, 1.01)

    HDL cholesterol, mg/dL

57 ± 16

61 ± 19

0.51

0.99 (0.97, 1.01)

0.98 (0.96, 1.01)

    Triglycerides, mg/dL

137 ± 86

97 ± 60

0.03

1.0004 (1.0, 1.01)

1.004 (1.0, 1.01)*

  Cigarette Smoking

     

    Current; number (%)

2 (10%)

4 (8%)

0.73

1.26 (0.36, 4.49)

0.97 (0.24, 3.94)

Serum inflammatory markers

     

  CRP, mg/L; median (IQR)

2.1 (0.5 to 9.6)

2.1 (0.8 to 5.2)

0.74

0.96 (0.72, 1.27)

0.99 (0.75, 1.32)

  IL-6, pg/mL; median (IQR)

4.0 (1.2 to 7.7)

2.3 (1.1 to 7.5)

0.45

1.12 (0.79, 1.58)

1.17 (0.83, 1.64)

  Fibrinogen, mg/dL; median (IQR)

362 (260 to 473)

338 (278 to 383)

0.89

1.08 (0.33, 3.50)

1.23 (0.39, 3.94)

  E-selectin, ng/mL; median (IQR)

49 (25 to 76)

45 (29 to 59)

0.90

1.0 (0.53, 1.88)

1.02 (0.58, 1.80)

  s-ICAM-1, ng/mL; median (IQR)

312 (247 to 383)

275 (225 to 322)

0.12

1.60 (0.58, 4.40)

1.31 (0.47, 3.62)

Disease characteristics at baseline

     

  Disease duration (years)

7 (4 to 14)

10 (5 to 20)

0.13

0.98 (0.94, 1.02)

0.97 (0.94, 1.01)

  DAS28

3.9 ± 0.9

3.7 ± 1.0

0.44

1.19 (0.81, 1.75)

1.20 (0.81, 1.78)

  HAQ

0.5 ± 0.7

0.5 ± 0.6

0.87

1.10 (0.60, 2.04)

1.12 (0.64, 1.95)

  Sharp score; median (IQR)

29 (15 to 73)

44 (11 to 90)

0.93

1.0 (0.99, 1.0)

1.0 (0.99, 1.0)

  Current use of MTX

10 (50%)

38 (72%)

0.08

0.52 (0.24, 1.09)

0.51 (0.25, 1.04)

  Current use of biologic agents

11 (55%)

24 (45%)

0.46

1.30 (0.61, 2.79)

1.29 (0.62, 2.68)

  Current use of corticosteroids

7 (35%)

19 (36%)

0.95

0.95 (0.43, 2.11)

1.02 (0.46, 2.26)

Disease characteristics, expressed as average over follow-up

     

  DAS28

3.5 ± 1.0

3.5 ± 1.0

0.90

1.04 (0.7, 1.6)

1.06 (0.7, 1.6)

  CRP, mg/L; median (IQR)

2.0 (0.9 to 6.5)

2.2 (1.2 to 6.2)

0.72

1.0 (1.0, 1.1)

1.0 (1.0, 1.1)

  IL-6, pg/mL; median (IQR)

4.7 (1.5 to 20.9)

3.7 (2.0 to 11.5)

0.87

1.0 (1.0, 1.2)

1.0 (1.0, 1.1)

  Fibrinogen, mg/dL; median (IQR)

358 (283 to 425)

361 (310 to 419)

0.78

1.0 (1.0, 1.0)

1.0 (1.0, 1.0)

  E-selectin, ng/mL; median (IQR)

44 (34 to 61)

43 (34 to 65)

0.78

1.0 (1.0, 1.0)

1.0 (1.0, 1.0)

  s-ICAM-1, ng/mL; median (IQR)

327 (242 to 367)

266 (240 to 323)

0.12

1.0 (1.0, 1.0)

1.0 (1.0, 1.0)

  1. aAdjusted for age. *P <0.05. BP, blood pressure; CAC, coronary artery calcium; CRP, C-reactive protein; DAS28, disease activity score in 28 joints; HDL, high density lipoprotein; IQR, interquartile range; IRR, incidence rate ratio; LDL, low density lipoprotein; MTX, methotrexate; RA, rheumatoid arthritis; s-ICAM, soluble intercellular adhesion molecule.