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1. Contents Vol. 31, 2011

Author

James F. Winchester, F. Logias, Naobumi Mise, B. Contu, G. Romei Longhena, A. Serra, Druck Reinhardt Druck Basel, Hye Min Choi, Hui-Teng Cheng, Kanji Shishido, Ya-Jun Luo, Eungtaek Kang, Kuan-Yu Hung, L. Corazza, Takahiro Nishi, Tadao Akizawa, Dinna N. Cruz, Francesco Garzotto, Tao Wang, Jeong Chul Kim, M. Ganadu, Ching Yan Goh, Xin-Hong Lu, M. Mascia, U. Teatini, Hiroshi Nishi, G. Cogoni, R. Ferrara, Satz Mengensatzproduktion, D. Casu, Won Yong Cho, Hiroki Suzuki, Ha-Na Yang, Yu-Chung Lien, T. Ghisu, P.M. Ghezzi, Imari Mimura, Ji Hyun Kim, Nathan W. Levin, Tun-Jun Tsai, Noriyuki Kato, Claudio Ronco, Tetsuo Michihata, Myung Gyu Kim, M. Cossu, Stephan Thijssen, Hyoung Kyu Kim, Tokuichiro Sugimoto, M. Passaghe, Sang-Kyung Jo, Hirokazu Honda, Zachary Z. Brener, D. Steckiph, Feidhlim Woods, Hye Won Kim, Peter Kotanko, F. Cadinu, Chung-Jen Yen, Federico Nalesso, Keiko Takahashi, Martin K. Kuhlmann, S. Murtas, Michael Bergman, P.G. Bolasco, Chih-Kang Chiang, Hon-Yen Wu, Jenq-Wen Huang, and Hee Chan Kim

Subjects
Nephrology, Hematology, General Medicine
Published
2011
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2. Malnutrition and inflammation determine prognosis of patients with CRS type 4

Author

Tokuichiro Sugimoto, Naobumi Mise, Takahiro Nishi, Imari Mimura, and Hiroshi Nishi

Subjects
Male, medicine.medical_specialty, medicine.medical_treatment, MEDLINE, Inflammation, Disease, Cardiorenal syndrome, Renal Dialysis, Risk Factors, Internal medicine, medicine, Humans, Intensive care medicine, Survival analysis, Aged, business.industry, Malnutrition, Hematology, General Medicine, Middle Aged, medicine.disease, Prognosis, Survival Analysis, Treatment Outcome, Nephrology, Kidney Failure, Chronic, Female, Hemodialysis, medicine.symptom, Ischemic heart, business
Abstract

Background/Aims: A significant number of uremic patients develop ischemic heart disease before hemodialysis (HD) is initiated. Recently, chronic cardiorenal syndrome among predialysis patients has been recognized. However, little is known about prognostic factors in this subgroup of incident HD patients. Methods: A total of 87 incident HD patients, who were classified into cardiorenal syndrome type 4 (chronic cardiorenal syndrome), were identified at Mitsui Memorial Hospital between 1984 and 2003. The survival and risk factors for mortality were examined. Results: 25 patients died and the 5-year survival rate amounted to approximately 75%. Both all-cause mortality and the adjusted mortality for age and sex were higher in patients with a lower serum albumin level (p = 0.03) or higher serum C-reactive protein level (p = 0.02). Conclusion: The poor survival rate of incident HD patients with a medical history of ischemic heart disease was predicted by malnutrition and inflammation at the start of HD.

Published
2010

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