Retrospective Analysis of Patient Survival Based on Nutritional Status in a Cohort of Hemodialysis patients From Two Large Centers in a Metropolitan City in a Developing Country

• Main Authors: Yuvaram N V Reddy, Georgi Abraham, Yogesh N V Reddy, Prethivee Nagarajan, Milly Matthew, T. Jayaseelan, Padma G
• Format: Article
• Language: English
• Published: The Korean Society of Nephrology 2012-06-01
• Series: Kidney Research and Clinical Practice
• Online Access: http://www.sciencedirect.com/science/article/pii/S2211913212005621

This is a retrospective analysis of 858 patients from 2 medical centers on maintenance hemodialysis from January 1998 - January 2010(Males–599, females 259) (364 diabetics [42.5%]) (Mean Age - 48.5+22.74, >60 - 76.5% and <60 – 23.5%) (Vegetarians – 18.25%, Non-Vegetarians–81.75%). Patients were followed up for 3 years. Demographic, nutritional and renal parameters were documented. Mean albumin - 3.47+0.67 g/dL, mean Hb - 8.56+5.75 g/L, Serum calcium (corrected) - 8.6+0.9 mg/dL, serum phosphorus - 5.32+1.85 mg/dL, mean Ca*Po4 product - 43.27+17.62 mg2/dL2, mean iPTH - 260.3+295.3pg/mL, 25-OH D3 - 23.3+20.2 mg/dL. Overall, 191 patients died (22%) with an 86% and 78% patient survival at 1 year and 3 years. Age Hb (g/L) Cor Ca. (mg/dL) Albumin (g/L) Ca*PO4 (mg/dL) 25-OH D3 (mg/dL) ≥60 9.0±7.9 8.6±0.9 3.5±0.6 42.6±16.7 22.9±18.7 <60 8.4±4.7 8.4±1.1 3.6±0.5 45.3±20 24.5±24.8 p value .550 .2660 .396 .235 .687There is no statistically significant association between age, albumin levels, vegetarianism with mortality.