Evidence map›Paper›PMID 40406779›Full record

ArticleCureus2025

A Low Level of High-Density Lipoprotein Cholesterol Predicts All-Cause Mortality Within 30 Days in Hospitalized Elderly Patients.

Hirofumi Kitamura, Mitsuaki Kameko, Fumio Kunimoto, Kazuhiko Kotani

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Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Hirofumi KitamuraDepartment of Laboratory Medicine, Tochigi Prefectural Medical and Social Welfare College, Utsunomiya, JPN.
Mitsuaki KamekoDepartment of Medical Technology, Faculty of Medical Science and Technolgy, Gunma Paz University Graduate School of Health Sciences, Takasaki, JPN.
Fumio KunimotoDepartment of Internal Medicine, Gunma Paz Hospital, Numata, JPN.
Kazuhiko KotaniDivision of Community and Family Medicine, Jichi Medical University, Shimotsuke, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhether low levels of high-density lipoprotein cholesterol (HDL-C) in the blood determine mortality has not been fully elucidated among elderly patients. It is thus a particular concern to see the predictive implication of HDL-C for post-hospitalized mortality in an elderly population.

methodsThis study was planned to investigate the HDL-C level at admission to a hospital in 493 patients of ≥70 years of age. The outcome was death from any cause within the first 30 days after admission. Cox proportional hazards models were used for the analyses. In addition, the time-dependent (follow-up period) receiver operating characteristic (ROC) curve analysis of HDL-C was performed for all-cause mortality.

resultsThe median age of patients was 89 years, and the proportion of male patients was 41%. The median HDL-C level at admission was 41 mg/dL. Deaths occurred in 89 patients (18%) during a median follow-up period of 27 days. In a multivariate model, the HDL-C showed a hazard ratio of 0.977 (95% confidence interval (CI) 0.955-0.998). The results of the ROC curve analysis on all-cause mortality demonstrated that the area under the curve value was 0.67 (95% CI 0.60-0.74) and the cut-off value of HDL-C was 31 mg/dL.

conclusionsA low HDL-C level at admission was a predictor of all-cause mortality within 30 days in hospitalized elderly patients. The cut-off value of HDL-C was deemed to be low in considering the reference value in daily practice. When elderly patients are admitted, the HDL-C level could be the focus of attention for the prediction of the prognosis and disease management.

Indexed as

deathhdlhospitalizationolder ageprognosis

Identifiers

PMID40406779
PMCPMC12097842

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