GERIATRIC NUTRITIONAL RISK INDEX AS A PROGNOSTIC FACTOR IN PERITONEAL DIALYSIS PATIENTS

Title
GERIATRIC NUTRITIONAL RISK INDEX AS A PROGNOSTIC FACTOR IN PERITONEAL DIALYSIS PATIENTS
Author(s)
도준영강석휘조규향박종원윤경우
Keywords
STAGE RENAL-DISEASE; BODY-COMPOSITION; HEMODIALYSIS-PATIENTS; INFLAMMATION; MALNUTRITION; PREDICTORS; MORTALITY; SURVIVAL
Issue Date
201307
Publisher
MULTIMED INC
Citation
PERITONEAL DIALYSIS INTERNATIONAL, v.33, no.4, pp.405 - 410
Abstract
Background: The Geriatric Nutritional Risk Index (GNRI) might be a useful screening tool for malnutrition in dialysis patients. However, data concerning the GNRI as a prognostic factor in peritoneal dialysis (PD) patients are scarce. Methods: We reviewed the medical records at Yeungnam University Hospital in Korea to identify all adults (>18 years) who received PD; 486 patients were enrolled in the study. Results: The initial low, middle, and high GNRI tertiles included 162, 166, and 158 patients respectively. Significant correlations were noted between the initial GNRI and body mass index, creatinine, albumin, arm circumference, fat mass index, and comorbidities. The cut-off value for the time-averaged GNRI over 1 year was 96.4, and the sensitivity and specificity for a diagnosis of a decline in lean mass were 77.1% and 40.0% respectively. A multivariate analysis adjusted for age, risk according to the Davies comorbidity index, and C-reactive protein showed that an low initial GNRI tertile was associated with mortality in PD patients. Conclusions: The GNRI is a simple method for predicting nutrition status and clinical outcome in PD patients.
URI
http://hdl.handle.net/YU.REPOSITORY/29382http://dx.doi.org/10.3747/pdi.2012.00018
ISSN
0896-8608
Appears in Collections:
의과대학 > 내과학교실 > Articles
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE