Association Between Comprehensive Nutritional Scoring System (CNSS) and Outcomes of Continuous Ambulatory Peritoneal Dialysis Patients

Background/Aims: The presence of protein–energy wasting (PEW) among dialysis patients is a crucial risk factor for outcomes. The complicated pathogenesis of PEW makes it difficult to assess and treat. This single-center retrospective study focuses on the association between nutritional markers and t...

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Published in:Kidney & blood pressure research 2017-01, Vol.42 (6), p.1225-1237
Main Authors: Yan, Xingqun, Yang, Xin, Xie, Xishao, Xiang, Shilong, Zhang, Xiaohui, Shou, Zhangfei, Chen, Jianghua
Format: Article
Language:English
Subjects:
Adult
Aged
Female
Hospitalization
Humans
Kidney Failure, Chronic - diagnosis
Kidney Failure, Chronic - mortality
Kidney Failure, Chronic - therapy
Male
Middle Aged
Mortality
Nutritional marker
Nutritional Status
Original Paper
Outcome
Peritoneal dialysis
Peritoneal Dialysis, Continuous Ambulatory
Prognosis
Protein-Energy Malnutrition
Retrospective Studies
Scoring system
Treatment Outcome
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Summary:Background/Aims: The presence of protein–energy wasting (PEW) among dialysis patients is a crucial risk factor for outcomes. The complicated pathogenesis of PEW makes it difficult to assess and treat. This single-center retrospective study focuses on the association between nutritional markers and the outcomes of continuous ambulatory peritoneal dialysis(CAPD) patients, aiming to establish a practical comprehensive nutritional scoring system for CAPD patients. Methods: 924 patients who initiated peritoneal dialysis in our center from January 1st,2005 to December 31st,2015 were enrolled. Comprehensive nutritional scoring system(CNSS) was based on items including SGA, BMI, ALB, TC, MAC and TSF. We divide patients into 3 groups according to their CNSS score. Outcomes including mortality, hospitalization days and hospitalization frequency were compared between 3 grades. Results: The CNSS grade correlated significantly with hospitalization days (P
ISSN:1420-4096
1423-0143
DOI:10.1159/000485926