简化肌酐指数作为维持性血液透析的 5 期慢性肾病患者营养不良的预测指标。

IF 2.1 Q2 UROLOGY & NEPHROLOGY International Journal of Nephrology and Renovascular Disease Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI:10.2147/IJNRD.S465294
Ria Bandiara, Davin Takaryanto, Rizky Andhika, Afiatin Makmun, Rudi Supriyadi, Lilik Sukesi
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引用次数: 0

摘要

背景:目的:本研究旨在分析简化肌酐指数(SCI)和营养炎症评分(MIS)之间的相关性,并确定简化肌酐指数的临界值,以预测接受维持性 HD 治疗的 5 期 CKD 患者的营养不良状况:本研究是一项分析性观察研究,采用横断面研究方法。132名研究对象是万隆哈桑-萨迪金博士医疗中心(RSUP Dr. Hasan Sadikin Bandung)血液透析室的5期CKD患者。研究使用 SPSS 的 Rank-Spearman 检验进行相关的双变量分析。通过分析接收者操作特征曲线(ROC)上的曲线下面积(AUC),找出预测 5 期 CKD 患者营养不良的 SCI 临界值:63名受试者(47.7%)被归类为营养良好,69名受试者(52.3%)被归类为营养不良。本研究的 SCI 平均值为 24.5 毫克/千克/天(± SD 3.2 毫克/千克/天),MIS 中位值为 6。本研究显示 SCI 与 MIS 之间存在显著负相关(r = -0.586,p <0.001)。从 ROC 曲线分析值来看,最佳 SCI 临界值≤ 24.53 毫克/千克/天(灵敏度 = 76.8%;特异性 = 79.4%):SCI与MIS之间存在负相关,SCI值≤24.53表明维持性HD治疗的5期CKD患者营养状况较差。SCI可作为营养不良的预测指标,成本更低,操作更简单。
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Simplified Creatinine Index as Predictor of Malnutrition in Stage 5 Chronic Kidney Disease Patients on Maintenance Haemodialysis.

Background: Malnutrition inflammation score (MIS) is an instrument for assessing the nutritional status of stage 5 CKD patients, while simplified creatinine index (SCI) is used to assess muscle mass indirectly.

Purpose: This study aims to analyse the correlation between SCI and MIS, as well as determine the SCI cut-off value as a predictor of malnutrition in stage 5 CKD patients on maintenance HD.

Methods: This research was an analytical observational study with a cross-sectional study approach. The 132 research subjects were stage 5 CKD patients at the HD Unit of RSUP Dr. Hasan Sadikin Bandung. The research used the Rank-Spearman test with SPSS for correlative bivariate analysis. The area under the curve (AUC) on the receiver operating characteristic (ROC) curve was analysed to find the SCI cut-off value as a predictor of malnutrition in stage 5 CKD patients.

Results: Sixty-three subjects (47.7%) were classified as good nutrition and 69 subjects (52.3%) as poor nutrition. The average SCI value in this study was 24.5 mg/kg/day ± SD 3.2 mg/kg/day, with a median MIS value was 6. This study showed a significant negative correlation between SCI and MIS (r = -0.586, p < 0.001). The optimal SCI cut-off from the ROC curve analysis value was ≤ 24.53 mg/kg/day (sensitivity = 76.8%; specificity = 79.4%).

Conclusion: A negative correlation existed between SCI and MIS, with an SCI value ≤ 24.53 indicating poor nutritional status in stage 5 CKD patients on maintenance HD. SCI can be used as a predictor of malnutrition at a lower cost and easier.

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来源期刊
CiteScore
3.90
自引率
5.00%
发文量
40
审稿时长
16 weeks
期刊介绍: International Journal of Nephrology and Renovascular Disease is an international, peer-reviewed, open-access journal focusing on the pathophysiology of the kidney and vascular supply. Epidemiology, screening, diagnosis, and treatment interventions are covered as well as basic science, biochemical and immunological studies. In particular, emphasis will be given to: -Chronic kidney disease- Complications of renovascular disease- Imaging techniques- Renal hypertension- Renal cancer- Treatment including pharmacological and transplantation- Dialysis and treatment of complications of dialysis and renal disease- Quality of Life- Patient satisfaction and preference- Health economic evaluations. The journal welcomes submitted papers covering original research, basic science, clinical studies, reviews & evaluations, guidelines, expert opinion and commentary, case reports and extended reports. The main focus of the journal will be to publish research and clinical results in humans but preclinical, animal and in vitro studies will be published where they shed light on disease processes and potential new therapies and interventions.
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