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Temporal muscle thickness predicts mortality in prevalent hemodialysis patients

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Erişim

info:eu-repo/semantics/openAccess

Tarih

2022

Yazar

Kara, Ekrem
Sahutoğlu, Tuncay
Demirbaş, Sibel
Beyazal, Mehmet

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Künye

Kara, E., Şahutoğlu, T., Demirbaş, S., & Beyazal, M. (2022). Temporal muscle thickness predicts mortality in prevalent hemodialysis patients. Revista da Associacao Medica Brasileira (1992), 68(12), 1715–1720. https://doi.org/10.1590/1806-9282.20220844

Özet

OBJECTIVE: Ultrasonographic temporal muscle thickness measurement has recently emerged as a promising method of nutritional assessment in various conditions; hence, we aimed to determine the relationship between temporal muscle thickness and mortality in prevalent hemodialysis patients. METHODS: Adult patients who were on a regular in-center hemodialysis program for ≥3 months were included, and patients with severe nonrenal organ failure or any recent significant disease inception were excluded. Baseline demographic; clinical, laboratory, and anthropometric data, including malnutrition inflammation score; and outcomes data were collected using a standardized form. RESULTS: A total of 60 patients (32 males, diabetes prevalence: 26.6%) who met the eligibility criteria participated in the study, with a mean follow-up of 33.3±11.5 months, a median age of 66.5 (interquartile range 52.7–74) years, time on hemodialysis of 36 months, and a body mass index of 25.9 kg/ m2. Infections and cardiovascular events were the most common causes of overall mortality that occurred in 41.6% of the patients. Temporal muscle thickness was significantly lower in nonsurvivors (8.8 vs. 10.6 mm, p<0.001). Multivariate Cox regression analysis involving age, albumin, spKt/V, and malnutrition inflammation score revealed that temporal muscle thickness was a significant predictor of mortality (hazard ratio=0.740, p=0.035). Receiver operating characteristic curve analysis has shown 68% of sensitivity and 81.8% of specificity for a cutoff value of 9.4 mm (p<0.001). Temporal muscle thickness was weakly or mildly correlated with hemodialysis vintage, body mass index, albumin, and malnutrition inflammation score and moderately correlated with age (r=−0.536, p<0.001). CONCLUSION: Ultrasonographic temporal muscle thickness has been found as a significant predictor of mortality in prevalent hemodialysis patients. Temporal muscle thickness could be a novel marker of nutritional status and predictor of mortality; hence, further studies are warranted.

Kaynak

Revista da Associacao Medica Brasileira

Cilt

68

Sayı

12

Bağlantı

https://doi.org/10.1590/1806-9282.20220844
https://hdl.handle.net/11436/7368

Koleksiyonlar

  • PubMed İndeksli Yayınlar Koleksiyonu [2443]
  • Scopus İndeksli Yayınlar Koleksiyonu [5999]
  • TF, Dahili Tıp Bilimleri Bölümü Koleksiyonu [1571]



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