直近一年間の累計
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ID 114530
著者
上田, 紗代 Tokushima University
Tsuchida, Kenji Tsuchida Dialysis Access Clinic
Minakuchi, Jun Kawashima Hospital
キーワード
Serum sodium concentration
Hemodialysis
Mortality
Diabetes
Blood glucose level
資料タイプ
学術雑誌論文
抄録
Background: A lot of risk factors for mortality have been proposed in hemodialysis patients. However, most of the findings were derived from the analyses using all of the hemodialysis patients. What we really want to know is the prognostic factor in stable hemodialysis patients who have good activities of daily living, because it is difficult to estimate their prognosis by physical appearance.
Methods: This is a 7-year observational study. The study involved registering 631 patients who had undergone hemodialysis for more than 1 year at enrollment and were still alive more than 1 year after it. Demographic and clinical data were collected to analyze the relationship with mortality. Moreover, the patients were age-stratified to investigate age-dependent prognostic factors.
Results: Low serum sodium concentration is an independent risk factor for all-cause and cardiovascular mortality common to a wide range of ages in stable hemodialysis patients. Causes of hyponatremia included the predialysis blood glucose level as well as the variables related to nutrition, inflammation, and fluid overload.
Conclusions: Low serum sodium concentration is a significant prognostic factor in stable hemodialysis patients. Low serum sodium concentration can be a clue to finding current poor glucose control in stable hemodialysis patients. Predialysis blood glucose level is one of the representative factors correlated with serum sodium concentration.
掲載誌名
Renal Replacement Therapy
ISSN
20591381
出版者
BioMed Central|Springer Nature
3
開始ページ
55
発行日
2017-12-06
権利情報
© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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フルテキストファイル
言語
eng
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部局
病院
医学系