Metabolic syndrome predicts hospitalization in hemodialysis patients: A prospective asian cohort study
Journal
Blood Purification
Journal Volume
25
Journal Issue
3
Pages
252-259
Date Issued
2007
Author(s)
Abstract
Background/Aims: Metabolic syndrome (MS) increases morbidity and mortality in the general population. The effects of individual components of MS differ in hemodialysis (HD) patients, but the composite effects of MS in this population are unknown. Methods: We performed a prospective, cohort study including 235 HD patients who were followed up for 3 years. We used modified Asian criteria of the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) to define the presence of MS, and compared the hospitalizations and deaths in patients with and without MS. Results: Patients with MS had a lower hospitalization-free ratio, greater annual hospitalization days and frequency than those without MS. The relative risk of the presence of MS was 1.669 in predicting first hospitalization for all causes. Conclusion: The modified Asian criteria for MS successfully predicted the risk of hospitalization as compared with NCEP ATP III criteria in HD patients. Copyright ? 2007 S. Karger AG.
SDGs
Other Subjects
albumin; C reactive protein; calcium; cholesterol; creatinine; ferritin; glucose; high density lipoprotein cholesterol; low density lipoprotein cholesterol; nitrogen; phosphate; potassium; sodium; triacylglycerol; urea; uric acid; adult; aged; albumin blood level; article; blood pressure; calcium blood level; cholesterol blood level; controlled study; creatinine blood level; female; ferritin blood level; follow up; glucose blood level; hemodialysis; hospitalization; human; major clinical study; male; metabolic syndrome X; phosphate blood level; population risk; potassium blood level; prediction; priority journal; proportional hazards model; prospective study; protein blood level; risk factor; sodium blood level; triacylglycerol blood level; urea nitrogen blood level; uric acid blood level; waist circumference; Adult; Aged; Cardiovascular Diseases; Cause of Death; Cohort Studies; Comorbidity; Female; Follow-Up Studies; Hospitalization; Humans; Infection; Kidney Failure, Chronic; Kidney Transplantation; Male; Metabolic Syndrome X; Middle Aged; Prospective Studies; Renal Dialysis; Risk; Survival Analysis; Taiwan
Type
journal article