Prognostic nutritional index is a predictor of mortality in elderly patients with chronic kidney disease

医学 内科学 肾病科 肾脏疾病 多元分析 糖尿病 透析 胃肠病学 回顾性队列研究 蛋白尿 内分泌学
作者
Dilek Barutçu Ataş,Murat Tuğcu,Ebru Aşıcıoğlu,Arzu Velioğlu,Hakkı Arikan,Mehmet Koç,Serhan Tuğlular
出处
期刊:International Urology and Nephrology [Springer Science+Business Media]
卷期号:54 (5): 1155-1162 被引量:13
标识
DOI:10.1007/s11255-021-03002-6
摘要

Prognostic nutritional index (PNI), a composite indicator of inflammation and nutritional status, has recently been recognized as an independent prognostic marker for chronic kidney disease (CKD). We aimed to investigate PNI and its relationship with mortality in elderly patients with CKD.Three hundred and fifty-nine patients over the age of 80 years with stage 3-4 CKD were enrolled in this retrospective study. PNI was used to assess the nutritional status of the patients. Patients were divided into two different groups as deceased and survived and as low PNI (< 39) and high PNI (≥ 39) according to median value of PNI.The mean age of the patients was 85.7 ± 3.7 years. One hundred and ninety-five (54.3%) patients died during follow-up. Multivariate analysis revealed that male gender, PNI, proteinuria, and diabetes mellitus (DM) were independent predictors of mortality in elderly patients with CKD. When patients with low PNI were compared to those with high PNI, initiation of dialysis and mortality rate were significantly higher whereas albumin, hemoglobin and lymphocyte count were lower. Pearson correlation analysis showed that PNI was significantly correlated with albumin (r = 1.000, p < 0.001), hemoglobin (r = 0.340, p < 0.001) and eGFR (r = 0.123, p = 0.020). Hemoglobin was an independent predictor of PNI in multivariate analysis.In this study, we observed that PNI was significantly associated with mortality over the age of 80 years in patients with CKD and can be used to monitor nutritional status in this patient population.
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