Low HDL levels and the risk of death, sepsis and malignancy

Background High density lipoprotein (HDL) plays an important role as an anti-atherogenic molecule, but also possesses anti-inflammatory and anti-angiogenic properties. The effect of extremely low levels of HDL on the risk of sepsis and malignancy were therefore examined. Methods A retrospective anal...

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Bibliographic Details
Published in:Clinical research in cardiology 2008-04, Vol.97 (4), p.227-233
Main Authors: Shor, Renana, Wainstein, Julio, Oz, David, Boaz, Mona, Matas, Zipora, Fux, Asora, Halabe, Aaron
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Cardiology
Comorbidity
Female
Fever - epidemiology
Fever - metabolism
Humans
Hypolipoproteinemias - diagnosis
Hypolipoproteinemias - epidemiology
Hypolipoproteinemias - metabolism
Lipoproteins, HDL - blood
Male
Medical research
Medicine
Medicine & Public Health
Middle Aged
Neoplasms - epidemiology
Neoplasms - metabolism
Odds Ratio
Original Paper
Prognosis
Regression analysis
Retrospective Studies
Risk Assessment
Sepsis
Sepsis - epidemiology
Sepsis - metabolism
Survival Rate
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Summary:Background High density lipoprotein (HDL) plays an important role as an anti-atherogenic molecule, but also possesses anti-inflammatory and anti-angiogenic properties. The effect of extremely low levels of HDL on the risk of sepsis and malignancy were therefore examined. Methods A retrospective analysis of patients hospitalized at the Edith Wolfson Medical center was conducted. Patients were divided into Group 1: 108 patients with serum HDL levels ≤20 mg/dl. Group 2: 96 patients with serum HDL levels ≥65 mg/dl. Medical history and laboratory data was recorded. Results The mean HDL levels in Group 1 were 16.1 ± 33 mg/dl compared to 74.9 ± 12.6 mg/dl in Group 2. Using a multivariate logistic regression analysis, low HDL was inversely associated with death (OR 0.96, 95% 0.93–0.99, P = 0.02), 3.98 fold increase in odds of fever (OR 3.98, 95% CI 1.3–11.8, P = 0.01), and 6.7-fold increase in the risk of cancer (OR 6.68, 95% CI 1.8–24.5, P = 0.004). HDL serum levels were inversely associated with sepsis. For each 1 mg/dl increase in HDL, a relative 11% decrease in odds of sepsis was observed (OR 0.886, 95% CI 0.8–0.976, P = 0.01). Conclusions Extremely low serum HDL levels (≤20 mg/dl) are associated with an increased risk of death, sepsis and malignancy.
ISSN:1861-0684
1861-0692
DOI:10.1007/s00392-007-0611-z