Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
LOW DIASTOLIC BLOOD-PRESSURE, HYPOALBUMINEMIA, AND RISK OF DEATH IN ACOHORT OF CHRONIC-HEMODIALYSIS PATIENTS
Autore:
ISEKI K; MIYASATO F; TOKUYAMA K; NISHIME K; UEHARA H; SHIOHIRA Y; SUNAGAWA H; YOSHIHARA K; YOSHI S; TOMA S; KOWATARI T; WAKE T; OURA T; FUKIYAMA K;
Indirizzi:
UNIV RYUKYUS,DEPT INTERNAL MED 3,207 UEHAM OKINAWA 90301 JAPAN UNIV RYUKYUS,DIALYSIS UNIT OKINAWA 90301 JAPAN PREFECTURAL NAHA HOSP OKINAWA JAPAN SOGO HOSP OKINAWA JAPAN OKINAWA KYODO HOSP OKINAWA JAPAN PREFECTURAL CHUBU HOSP OKINAWA JAPAN OKINAWA DIAICHI HOSP OKINAWA JAPAN NAHA CITY HOSP OKINAWA JAPAN MAKIMINATO CHUO HOSP OKINAWA JAPAN PREFECTURAL NANBU HOSP OKINAWA JAPAN TOMISHIRO CHU HOSP OKINAWA JAPAN
Titolo Testata:
Kidney international
fascicolo: 4, volume: 51, anno: 1997,
pagine: 1212 - 1217
SICI:
0085-2538(1997)51:4<1212:LDBHAR>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
STAGE RENAL-DISEASE; CHRONIC DIALYSIS PATIENTS; MAINTENANCE HEMODIALYSIS; HYPERTENSION; MORTALITY; SURVIVAL; ATHEROSCLEROSIS; IMPACT; SODIUM; TRIAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
40
Recensione:
Indirizzi per estratti:
Citazione:
K. Iseki et al., "LOW DIASTOLIC BLOOD-PRESSURE, HYPOALBUMINEMIA, AND RISK OF DEATH IN ACOHORT OF CHRONIC-HEMODIALYSIS PATIENTS", Kidney international, 51(4), 1997, pp. 1212-1217

Abstract

In a previous report, we showed that nutritional status and especially serum albumin had great predictive value for death in chronic hemodialysis patients, whereas blood pressure did not. In the present study,we analyzed the causes of death in consideration of the relationship between serum albumin and blood pressure. A total of 1,243 Okinawan patients (719 males, 524 females) undergoing hemodialysis in January 1991 were followed up through the end of 1995. Three hundred forty-two ofthe patients died, 45 received transplants, and 12 were transferred by the end of the follow-up period. The total duration of observation was 5,110.3 patient-years. Blood pressure as well as clinical and laboratory variables were determined immediately prior to the first dialysis session in January 1991. The crude death rate was 40.0% when the diastolic blood pressure (DBP) <70 mm Hg, 35.0% at 70 to 79 mm Hg, 25.0% at 80 to 89 mm Hg, 25.0% at 90 to 99 mm Hg, and 13.0% at >100 mm Hg. The death rate showed an inverse correlation with DBP. DBP showed a significant positive correlation with serum albumin (r = 0.137, P < 0.001) and age (r = -0.325, P < 0.0001). The adjusted odds ratio (95% confidence interval) of death was 0.84 (0.71 to 0.99) with 10 mm Hg increments in DBP when the reference DBP was less than 69 mm Hg. Low DBP may be a manifestation of malnutrition and/or cardiovascular disease in chronic hemodialysis patients. Target DBP levels may be higher levels inchronic hemodialysis patients than the general population.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 22:03:14