The association between geriatric nutritional risk index variability and mortality in peritoneal dialysis patients.

Yıldırım, Filiz; Uzun, Ozcan; Nasuhbeyoglu, Guler; Narlioglu, Aslihan; Deligöz Bildacı, YELDA; Cavdar, Caner; Deger, SERPİL

doi:10.1111/1744-9987.13984

The association between geriatric nutritional risk index variability and mortality in peritoneal dialysis patients.

Yıldırım F., Uzun O., Nasuhbeyoglu G., Narlioglu A., Deligöz Bildacı Y., Cavdar C., ...Daha Fazla

Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy, cilt.27, sa.4, ss.752-759, 2023 (SCI-Expanded)

Yayın Türü: Makale / Tam Makale
Cilt numarası: 27 Sayı: 4
Basım Tarihi: 2023
Doi Numarası: 10.1111/1744-9987.13984
Dergi Adı: Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
Sayfa Sayıları: ss.752-759
Anahtar Kelimeler: geriatric nutritional risk index, mortality, peritoneal dialysis, protein-energy wasting
Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Background: The objective of this study is to examine the association between the Geriatric Nutritional Risk Index (GNRI) and overall mortality in this population.Methods: GNRI values were calculated by using the serum albumin levels and body weight and the GNRI variability reflects the changes in GNRI change slopes in the follow-up.Results: GNRI values showed a decrease from the median baseline GNRI of 106.3 (IQR, 95.0,113.4) to 98.4 (interquartile range [IQR], 91.9108.9) (p < 0.001). The median GNRI variability was 4.7 (IQR, 2.5, 10.3). Both baseline GNRI levels (adjusted odds ratio [OR]: 0.96, 95% confidence interval [CI]: 0.93, 0.99, p = 0.04) and more profoundly GNRI variability (adjusted OR: 1.23, 95% CI: 1.01, 1.44, p = 0.03) were independently associated with mortality.Conclusion: The monitorization of the changes in GNRI values as a variability index is an easy tool that might improve the predictive accuracy of mortality in peritoneal dialysis patients.