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A LONGITUDINAL STUDY OF NUTRITIONAL AND INFLAMMATORY STATUS IN PATIENTS ON DIALYSIS
Author(s) -
Markaki Anastasia,
Gkouskou Kalliopi,
Ganotakis Emmanouel,
Margioris Andrew,
Daphnis Eugene
Publication year - 2014
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/jorc.12048
Subject(s) - medicine , bioelectrical impedance analysis , peritoneal dialysis , anthropometry , dialysis , malnutrition , prospective cohort study , serum albumin , longitudinal study , dialysis adequacy , mortality rate , surgery , intensive care medicine , body mass index , pathology
SUMMARY Objective Several anthropometric, laboratory and bioelectrical impedance parameters of nutritional status and inflammation are often used as prognostic indices in patients on dialysis. Their longitudinal assessment is necessary for the estimation of their true prognostic value. We aim to estimate this prognostic value in better‐nourished dialysis patients, which are commonly under‐represented in pertinent studies. Methods The design is a prospective case series. Pertinent parameters were studied three times during a 20‐month period in 47 haemodialysis (HD) and 27 peritoneal dialysis (PD) patients with a low malnutrition‐inflammation score (MIS). Mortality rate was assessed three years after the initial evaluation. Correlation coefficients were calculated between mortality rate, the studied parameters and their alteration. Results Serum albumin of less than 40 g/l was strongly correlated with mortality risk. The alteration of studied parameters during a short period of time does not allow for long‐term prediction of mortality risk. Conclusion Serum albumin had the strongest predictive value of all the pertinent parameters in the study. Thus, better conjugate clinical and laboratory measurements should be developed for patients on PD, as well as for those with a relatively low MIS.