The impact of the mineral density of the skeleton on the survival of patients in hemodialysis (CROSBI ID 623468)
Prilog sa skupa u zborniku | sažetak izlaganja sa skupa | međunarodna recenzija
Podaci o odgovornosti
Orlić, Lidija ; Mikolašević, Ivana ; Crnčević Orlić, Željka
engleski
The impact of the mineral density of the skeleton on the survival of patients in hemodialysis
AIM: The aim of present analysis was to determine the relationship between BMD assessed by T and Z score and mortality risk in hemodialysis (HD) patients. Also we were explore which skeletal sites are the best in predicting mortality rate. METHODS: In the present study we have analyzed the survival of 102 patients that were treated with chronic HD according to the bone mineral density (BMD). RESULT: Patients who had T score ≤ 2.5 at mid part of forearm, at ultradistal and proximal part of forearm had a higher risk for death than those patients who had T score ≥ -2.5 On the other hand, we didn’t find any statistically significant association between losses of bone mass at other measuring points ; lumbar spine (antero-posterior orientation from L1-L4) and hip (neck, trochanter, intertrochanter, total and Ward's triangle) and mortality risk. Next we were interested to explore the relationship between Z score in different skeletal regions and mortality risk. We have founded that patients who had Z score ≤ - 1 at all three parts of forearm had a great mortality risk. Also, Z score obtained at all three parts of forearm was an even better predictor of mortality in comparison to T-score in the same skeletal regions. CONCLUSION: Based at our experience, BMD assessed should be obtained at forearm because this skeletal site is a good predictor of mortality in HD patients. Furthermore, data about bone density should be reported as Z-scores.
chronic hemodialysis; bone mineral density; survival; forearm; skeletal regions
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Podaci o prilogu
31-31.
2015.
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objavljeno
Podaci o matičnoj publikaciji
Knjiga sažetaka ; 4th Congress of Nephrology of Bosnia and Herzegovina with international participation
Enisa Mesić
Sarajevo:
Podaci o skupu
4th Congress of Nephrology of Bosnia and Herzegovina with international participation
predavanje
22.04.2015-25.04.2015
Sarajevo, Bosna i Hercegovina