Changes in geriatric nutritional risk index and risk of major adverse cardiac and cerebrovascular events in incident peritoneal dialysis patients.

ABSTRACT:

Background

Geriatric nutritional risk index (GNRI) is a validated nutritional assessment method, and lower GNRI values are closely associated with adverse clinical outcomes in dialysis patients. This study investigated the impact of changes in GNRI during the first year of dialysis on cardiovascular outcomes in incident peritoneal dialysis (PD) patients.

Methods

We reviewed medical records in 133 incident PD patients to determine GNRI at the start of PD and after 12 months. Patients were categorized into improved (delta GNRI > 0) and worsening/stationary (delta GNRI ≤ 0) groups. The primary outcome was major adverse cardiac and cerebrovascular events (MACCEs).

Results

During a mean follow-up of 51.1 months, the primary outcome was observed in 42 patients (31.6%). The

SUBMITTER: Lee MJ 

PROVIDER: S-EPMC5743047 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature