Academic Journal
Hemodialysis prognostic nutrition index as a predictor for morbidity and mortality in hemodialysis patients and its correlation to adequacy of dialysis
| Title: | Hemodialysis prognostic nutrition index as a predictor for morbidity and mortality in hemodialysis patients and its correlation to adequacy of dialysis |
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| Authors: | Joya Hart, Judith A. Beto, Diane Roberts, Vinod Bansal, Maureen P. McCarthy |
| Source: | Journal of Renal Nutrition. 9:2-8 |
| Publisher Information: | Elsevier BV, 1999. |
| Publication Year: | 1999 |
| Subject Terms: | 03 medical and health sciences, 0302 clinical medicine, 3. Good health |
| Description: | Objective: Prospectively examine the use of a hemodialysis prognostic nutrition index (HD-PNI) as a predictor for morbidity and mortality in hemodialysis patients and its correlation to adequacy of dialysis. Design: Prospective randomized collaborative study group. Setting: There were 211 chronic hemodialysis centers; 202 from 43 United States, 9 from Canada. Patients: There were 1527 hemodialysis patients undergoing treatment a minimum of 3 months and at least 18 years of age. Sample mirrored United States Renal Data system data for age, sex, race, and etiology of renal failure. Interventions: None; routinely collected demographic, biochemical, and clinical data for 8-month baseline and 3-month predictive phases. Methods: HD-PNI calculated from baseline data as linear mathematical equation using level of serum albumin, level of serum creatinine, and number of days and times hospitalized; HD-PNI risk defined as ≥0.8. Adequacy of dialysis calculated as urea reduction ratio (URR) from baseline data; adequacy risk defined as URR of ≤65%. Main outcome measures: Number of times and days hospitalized, mortality. Results: For this research, 1167 patients completed the study (76%) with 360 (24%) dropped due to death, incomplete data, transfer, or change in modality. Patients completing study with HD-PNI risk (n = 208, 18%) compared with patients who had no HD-PNI risk (n = 959, 82%) were hospitalized more often (57.2% v 28.5%, P v 4.6%, P v 2.5%, P Conclusions: Use of HD-PNI is an effective screening tool to identify hemodialysis patients at risk for morbidity and mortality. No correlation was found between URR and HD-PNI. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1051-2276 |
| DOI: | 10.1016/s1051-2276(99)90015-8 |
| Access URL: | https://www.jrnjournal.org/article/S1051-2276(99)90015-8/fulltext https://www.jrnjournal.org/article/S1051-2276(99)90015-8/pdf https://www.ncbi.nlm.nih.gov/pubmed/9861095 http://www.sciencedirect.com/science/article/pii/S1051227699900158 https://www.sciencedirect.com/science/article/pii/S1051227699900158 |
| Rights: | Elsevier TDM |
| Accession Number: | edsair.doi.dedup.....9f0443c7f5244afbd0425615064a6563 |
| Database: | OpenAIRE |
| ISSN: | 10512276 |
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| DOI: | 10.1016/s1051-2276(99)90015-8 |