查詢結果分析
相關文獻
頁籤選單縮合
題名 | The Impact of Malnutritional Status on Survival in Elderly Hemodialysis Patients= |
---|---|
作者 | Tsai, Ming-tsun; Liu, Hsiang-chung; Huang, Tung-po; |
期刊 | Journal of the Chinese Medical Association |
出版日期 | 20160600 |
卷期 | 79:6 2016.06[民105.06] |
頁次 | 頁309-313 |
分類號 | 415.816 |
語文 | eng |
關鍵詞 | Elderly; Geriatric nutritional risk index; Hemodialysis; Mortality; |
英文摘要 | Background: The number of geriatric patients with end-stage renal disease undergoing maintenance hemodialysis has increased in Taiwan. However, protein-energy wasting is prevalent and associated with poor outcome in this patient population. It is generally well-known that geriatric nutritional risk index (GNRI) is a good survival predictor in general elderly patients. However, the association of GNRI with mortality in geriatric end-stage renal disease patients remains unclear. The present study aimed to assess the predictive ability of GNRI for overall mortality in elderly hemodialysis patients. Methods: GNRI was measured in a cohort of 104 hemodialysis patients aged 65 years. Thereafter, these patients were followed for a median period of 38.5 months. For all cases, all-cause mortality was the primary endpoint. Results: Patients with baseline GNRI < 0.001) and serum high-sensitivity C-reactive protein (b ¼ 0.71, p ¼ 0.021). By the conclusion of the study, 45 patients had died. High GNRI was associated with the lower risk of mortality after adjustment for other potential confounders [hazard ratio ¼ 0.41; 95% confidence interval (CI) ¼ 0.22e0.90; p ¼ 0.005]. Conclusion: GNRI is a significant predictor for mortality in elderly hemodialysis patients, and may be adopted to improve assessment of the malnutrition inflammation status. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。