Geriatric Nutritional Risk Index May Be a Significant Predictor of Mortality in Korean Hemodialysis Patients: A Single Center Study

被引：25

作者：

Park, Jin Hee ^{[1
]}

Kim, Sung Bin ^{[1
]}

Shin, Ho Sik ^{[1
]}

Jung, Yeon Soon ^{[1
]}

Rim, Hark ^{[1
]}

机构：

[1] Kosin Univ, Dept Internal Med, Coll Med, Pusan 602702, South Korea

来源：

THERAPEUTIC APHERESIS AND DIALYSIS | 2012年 / 16卷 / 02期

关键词：

Geriatric nutritional risk index; Hemodialysis; Malnutrition; Mortality; CHRONIC DIALYSIS PATIENTS; MAINTENANCE HEMODIALYSIS; SCREENING TOOL; DISEASE; INFLAMMATION; CRITERIA; SCORE;

D O I：

10.1111/j.1744-9987.2011.01046.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Our objective was to examine the association between the Geriatric Nutritional Risk Index (GNRI) and mortality in Korean hemodialysis (HD) patients. We examined the GNRI of 120 maintenance HD patients and followed these patients for 120 months. Predictors for all-cause death were examined using life table analysis and the Cox proportional hazards model. Life table analysis revealed that subjects with a GNRI < 90 (n = 19) had a marginally lower survival rate than did those with a GNRI = 90 (n = 101) (Wilcoxon test, P = 0.048). Multivariate Cox proportional hazards analyses demonstrated that the GNRI was a significant predictor of mortality (hazard ratio 0.966, 95% confidence interval 0.9450.995, P = 0.018), after adjusting for age, sex, presence of diabetes mellitus, and body weight. These results demonstrate that the GNRI may be a significant predictor of mortality in Korean HD patients.

引用

页码：121 / 126

页数：6

共 16 条

[1]

[Anonymous], 2000, Am J Kidney Dis, V35, pS1, DOI DOI 10.1053/AJKD.2000.V35.AAJKD03517

[2] Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients [J].

Bouillanne, O ;

Morineau, G ;

Dupont, C ;

Coulombel, I ;

Vincent, JP ;

Nicolis, I ;

Benazeth, S ;

Cynober, L ;

Aussel, C .

AMERICAN JOURNAL OF CLINICAL NUTRITION, 2005, 82 (04) :777-783

[3] The ability of the Geriatric Nutritional Risk Index to assess the nutritional status and predict the outcome of home-care resident elderly: a comparison with the Mini Nutritional Assessment [J].

Cereda, Emanuele ;

Pusani, Chiara ;

Limonta, Daniela ;

Vanotti, Alfredo .

BRITISH JOURNAL OF NUTRITION, 2009, 102 (04) :563-570

[4] Excess mortality due to interaction between protein-energy wasting, inflammation and cardiovascular disease in chronic dialysis patients [J].

de Mutsert, Renee ;

Grootendorst, Diana C. ;

Axelsson, Jonas ;

Boeschoten, Elisabeth W. ;

Krediet, Raymond T. ;

Dekker, Fniedo W. .

NEPHROLOGY DIALYSIS TRANSPLANTATION, 2008, 23 (09) :2957-2964

[5] Subjective global assessment of nutritional status is strongly associated with mortality in chronic dialysis patients [J].

de Mutsert, Renee ;

Grootendorst, Diana C. ;

Boeschoten, Elisabeth W. ;

Brandts, Hans ;

van Manen, Jeannette G. ;

Krediet, Raymond T. ;

Dekker, Friedo W. .

AMERICAN JOURNAL OF CLINICAL NUTRITION, 2009, 89 (03) :787-793

[6] WHAT IS SUBJECTIVE GLOBAL ASSESSMENT OF NUTRITIONAL-STATUS [J].

DETSKY, AS ;

MCLAUGHLIN, JR ;

BAKER, JP ;

JOHNSTON, N ;

WHITTAKER, S ;

MENDELSON, RA ;

JEEJEEBHOY, KN .

JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 1987, 11 (01) :8-13

[7] Development of a valid and reliable malnutrition screening tool for adult acute hospital patients [J].

Ferguson, M ;

Capra, S ;

Bauer, J ;

Banks, M .

NUTRITION, 1999, 15 (06) :458-464

[8] A proposed nomenclature and diagnostic criteria for protein-energy wasting in acute and chronic kidney disease [J].

Fouque, D. ;

Kalantar-Zadeh, K. ;

Kopple, J. ;

Cano, N. ;

Chauveau, P. ;

Cuppari, L. ;

Franch, H. ;

Guarnieri, G. ;

Ikizler, T. A. ;

Kaysen, G. ;

Lindholm, B. ;

Massy, Z. ;

Mitch, W. ;

Pineda, E. ;

Stenvinkel, P. ;

Trevinho-Becerra, A. ;

Wanner, C. .

KIDNEY INTERNATIONAL, 2008, 73 (04) :391-398

[9] A malnutrition-inflammation score is correlated with morbidity and mortality in maintenance hemodialysis patients [J].

Kalantar-Zadeh, K ;

Kopple, JD ;

Block, G ;

Humphreys, MH .

AMERICAN JOURNAL OF KIDNEY DISEASES, 2001, 38 (06) :1251-1263

[10] Geriatric Nutritional Risk Index, a simplified nutritional screening index, is a significant predictor of mortality in chronic dialysis patients [J].

Kobayashi, Ikue ;

Ishimura, Eiji ;

Kato, Yoko ;

Okuno, Senji ;

Yamamoto, Tadashi ;

Yamakawa, Tomoyuki ;

Mori, Katsuhito ;

Inaba, Masaaki ;

Nishizawa, Yoshiki .

NEPHROLOGY DIALYSIS TRANSPLANTATION, 2010, 25 (10) :3361-3365

← 1 2 →