Geriatric Nutritional Risk Index as a Simple Predictor of Mortality in Maintenance Hemodialysis Patients: A Single Center Study

• 作者: Fumiko Kojima Keiko Suzuki Kosaku Nitta Sayaka Takahashi Yoshiko Tanaka
• 来源期刊: 临床医学国际期刊(英文)
• 学科: 医学
• 关键词: HEMODIALYSIS MALNUTRITION GERIATRIC NUTRITIONAL Risk Index MORTALITY
• 年，卷（期）: 2015,（5）
• 页码范围: 354-362
• 页数: 9页
• 分类号: R73

摘要

Background: Malnutrition is associated with higher risk of mortality in maintenance hemodialysis (MHD) patients. The geriatric nutritional risk index (GNRI) has been developed as a tool to assess the nutritional risk. Objectives: The purpose of the present study was to examine the significance of the GNRI as a mortality predictor in MHD patients. Methods: We retrospectively examined the GNRI of 259 MHD patients aged 59.2 ± 12.8 years, and followed up for 36 months. The patients were divided into two groups according to GNRI values of 91.0. Predictors for all-cause mortality were examined using Kaplan-Meier and Cox proportional-hazards analyses. Results: During the follow-up period of 36 months, a total of 76 patients died. Kaplan-Meier survival analysis showed that the subjects with a GNRI 91 (n = 230) (Log-rank test, p