scholarly journals Changes in geriatric nutritional risk index and risk of major adverse cardiac and cerebrovascular events in incident peritoneal dialysis patients

2017 ◽  
Vol 36 (4) ◽  
pp. 377-386 ◽  
Author(s):  
Mi Jung Lee ◽  
Young Eun Kwon ◽  
Kyoung Sook Park ◽  
Jung Tak Park ◽  
Seung Hyeok Han ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Risk Index ◽  
Nutritional Risk ◽  
Dialysis Patients ◽  
Geriatric Nutritional Risk Index ◽  
Cerebrovascular Events ◽  
Nutritional Risk Index

scholarly journals Geriatric Nutritional Risk Index as a Prognostic Factor in Peritoneal Dialysis Patients

2013 ◽  
Vol 33 (4) ◽  
pp. 405-410 ◽  
Author(s):  
Seok Hui Kang ◽  
Kyu Hyang Cho ◽  
Jong Won Park ◽  
Kyung Woo Yoon ◽  
Jun Young Do
Keyword(s):  
Peritoneal Dialysis ◽  
Prognostic Factor ◽  
Risk Index ◽  
University Hospital ◽  
Nutritional Risk ◽  
Nutrition Status ◽  
Dialysis Patients ◽  
Geriatric Nutritional Risk Index ◽  
Simple Method ◽  
Nutritional Risk Index

BackgroundThe 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.MethodsWe 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.ResultsThe 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.ConclusionsThe GNRI is a simple method for predicting nutrition status and clinical outcome in PD patients.

Geriatric nutritional risk index is associated with mortality in peritoneal dialysis patients

2020 ◽  
Vol 50 (4) ◽  
pp. 470-476 ◽  
Author(s):  
Mian Ren ◽  
Qilin Sheng ◽  
Xishao Xie ◽  
Xiaohui Zhang ◽  
Fei Han ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Risk Index ◽  
Nutritional Risk ◽  
Dialysis Patients ◽  
Geriatric Nutritional Risk Index ◽  
Nutritional Risk Index

Geriatric Nutritional Risk Index as a Screening Tool for Malnutrition in Patients on Chronic Peritoneal Dialysis

2010 ◽  
Vol 20 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Cheuk-Chun Szeto ◽  
Bonnie Ching-Ha Kwan ◽  
Kai-Ming Chow ◽  
Man-Ching Law ◽  
Philip Kam-Tao Li
Keyword(s):  
Peritoneal Dialysis ◽  
Screening Tool ◽  
Risk Index ◽  
Nutritional Risk ◽  
Chronic Peritoneal Dialysis ◽  
Geriatric Nutritional Risk Index ◽  
Nutritional Risk Index

scholarly journals Clinical Significance of Phase Angle in Non-Dialysis CKD Stage 5 and Peritoneal Dialysis Patients

Nutrients ◽  
2018 ◽  
Vol 10 (9) ◽  
pp. 1331 ◽  
Author(s):  
Byoung-Geun Han ◽  
Jun Lee ◽  
Jae-Seok Kim ◽  
Jae-Won Yang
Keyword(s):  
Peritoneal Dialysis ◽  
Nutritional Status ◽  
Clinical Significance ◽  
Phase Angle ◽  
Fluid Overload ◽  
Risk Index ◽  
Nutritional Risk ◽  
Dialysis Patients ◽  
Ckd Stage ◽  
Nutritional Risk Index

Background: Fluid overload and protein-energy wasting (PEW) are common in patients with end-stage renal disease (ESRD) and lead to a poor prognosis. We aimed to evaluate the volume and nutritional status of ESRD patients and to determine the clinical significance of phase angle (PhA). Methods: This study was a cross-sectional comparison of bioimpedance spectroscopy (BIS) findings in patients with non-dialysis chronic kidney disease (CKD) stage 5 (CKD5-ND, N = 80) and age/sex-matched peritoneal dialysis patients (PD, N = 80). PEW was defined as a PhA less than 4.5°. Results: The PhA was found to be positively associated with a geriatric nutritional risk index (GNRI, r = 0.561, p < 0.001), lean tissue index (LTI, r = 0.473, p < 0.001), and albumin (r = 0.565, p < 0.001) while OH/ECW (r = −0.824, p < 0.001) showed an inverse correlation. The CKD5-ND group had more overhydration (p = 0.027). The PD group had significantly higher PhA (p = 0.023), GNRI (p = 0.005), hemoglobin (p < 0.001), and albumin (p = 0.003) than the CKD5-ND group. The cut-off values predicting PEW were found to be 3.55 g/dL for albumin, 94.9 for GNRI, and 12.95 kg/m2 for LTI in PD patients. Conclusions: This study demonstrated that PhA could be used as a marker to reflect nutritional status in patients with ESRD. Since BIS can inform both volume and nutritional status, regular monitoring will provide the basis for active correction of fluid overload and nutritional supplementation, which may improve outcomes in patients with ESRD.

Serum Thiamine Values in End-Stage Renal Disease Patients under Maintenance Hemodialysis

2015 ◽  
Vol 85 (5-6) ◽  
pp. 348-355 ◽  
Author(s):  
Masamitsu Ubukata ◽  
Nobuyuki Amemiya ◽  
Kosaku Nitta ◽  
Takashi Takei
Keyword(s):  
Thiamine Deficiency ◽  
Risk Index ◽  
Nutritional Risk ◽  
Maintenance Hemodialysis ◽  
Dialysis Patients ◽  
Significant Difference ◽  
Nutritional Risk Index ◽  
Serum Aspartate Aminotransferase ◽  
Stage Renal Disease ◽  
End Stage

Abstract. Objective: Hemodialysis patients are prone to malnutrition because of diet or many uremic complications. The objective of this study is to determine whether thiamine deficiency is associated with regular dialysis patients. Methods: To determine whether thiamine deficiency is associated with regular dialysis patients, we measured thiamine in 100 patients undergoing consecutive dialysis. Results: Average thiamine levels were not low in both pre-hemodialysis (50.1 ± 75.9 ng/mL; normal range 24 - 66 ng/mL) and post-hemodialysis (56.4 ± 61.7 ng/mL). In 18 patients, post-hemodialysis levels of thiamine were lower than pre-hemodialysis levels. We divided the patients into two groups, the decrease (Δthiamine/pre thiamine < 0; - 0.13 ± 0.11) group (n = 18) and the increase (Δthiamine/pre thiamine> 0; 0.32 ± 0.21)) group (n = 82). However, there was no significance between the two groups in Kt/V or type of dialyzer. Patients were dichotomized according to median serum thiamine level in pre-hemodialysis into a high-thiamine group (≥ 35.5 ng/mL) and a low-thiamine group (< 35.4 ng/mL), and clinical characteristics were compared between the two groups. The low-thiamine value group (< 35.4 ng/ml; 26.8 ± 5.3 ng/ml) exhibited lower levels of serum aspartate aminotransferase and alanine aminotransferase than the high-thiamine value group (≥ 35.4 ng/ml; 73.5 ± 102.5 ng/ml) although there was no significance in nutritional marker, Alb, geriatric nutritional risk index , protein catabolic rate and creatinine generation rate. Conclusion: In our regular dialysis patients, excluding a few patients, we did not recognize thiamine deficiency and no significant difference in thiamine value between pre and post hemodialysis.

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