MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS

Kaya, Tezcan; CİNEMRE, Hakan; TAMER, ALİ; VARIM, Ceyhun; nalbant, ahmet; Sipahi, Savaş; Karacaer, Cengiz

MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS

Tezcan KAYA, (Sakarya Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Sakarya, Türkiye)

Savaş SİPAHİ, (Sakarya Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Sakarya, Türkiye)

Cengiz KARACAER, (Sağlık Bakanlığı, Sakarya Üniversitesi, Eğitim ve Araştırma Hastanesi, İç Hastalıkları Kliniği, Sakarya, Türkiye)

Ahmet NALBANT, (Sağlık Bakanlığı, Sakarya Üniversitesi, Eğitim ve Araştırma Hastanesi, İç Hastalıkları Kliniği, Sakarya, Türkiye)

Ceyhun VARIM, (Sakarya Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Sakarya, Türkiye)

Hakan CİNEMRE, (Sakarya Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Sakarya, Türkiye)

Ali TAMER (Sakarya Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Sakarya, Türkiye)

Türk Geriatri Dergisi

15 0

Yıl: 2015 Cilt: 18 Sayı: 1 Sayfa Aralığı: 3 - 9 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS

Öz:

Giriş: Çalışmalarda erişkin hemodiyaliz hastalarında malnütrisyon ve inflamasyon ile eritropoietin ihtiyacı arasında korelasyon olduğu gösterilmiştir. Fakat geriatrik hemodiyaliz hastalarındabu ilişki ile ilgili belirgin veriler bulunmamaktadır. Bu çalışmanın amacı geriatrik hemodiyaliz hastalarında malnutrisyon inflamasyon skoru, eritropoietin ihtiyacı ve eritropoietin direnci ilişkisininaraştırılmasıdır.Gereç ve Yöntem: Bu kesitsel çalışmaya yüz elli dört erişkin hemodiyaliz hastası alındı. Hastaların eritropoietin direnç indeksi, haftalık eritropoietin dozu, haftalık kilo başına eritropoietin dozu ve malnutrisyon inflamasyon skoru hesaplandı. Hastaların nütrisyon ve inflamasyon ilişkili laboratuar ve antropometrik parametreleri ölçüldü. Bulgular: Çalışmaya alınan 154 hastanın yaş ortalaması 59,5±14,5 yıl, 81'i erkek, 68'i geriatrik (yaş >=65 yıl) idi. Ortalama diyaliz süresi 36 aydı . Geriatrik hastalarda, malnutrisyon inflamasyon skoru ortalaması daha yüksek bulundu (p=0,004). Malnutrisyon inflamasyon skoru, geriatrik ve erişkin hasta gruplarının her ikisinde de haftalık kilo başına eritropoietin dozu ile korele bulundu (sırasıyla p<0,01, r=0,484; p=0,029, r=0,235). Malnutrisyon inflamasyon skoru, geriatrik ve erişkin hasta gruplarının her ikisinde de eritropoietin direnç indeksi ilekorele bulundu (sırasıyla p<0,01, r=0,497; p=0,014, r=0,497). Sonuç: Malnutrisyon inflamasyon skoru, geriatrik ve erişkin (yaş<65) hemodiyaliz hastalarının her ikisinde de haftalık kilo başına eritropoietin dozu ve eritropoietin direnç indeksi ile koreledir. Ayrıca, malnütrisyon ve inflamasyon geriatrik hemodiyaliz hastalarında erişkin (yaş<65) hemodiyaliz hastalarından daha fazla görülmektedir

Anahtar Kelime:

Konular: Cerrahi

GERİATRİK HEMODİYALİZ HASTALARINDA MALNÜTRİSYON İNFLAMASYON SKORU, ANTROPOMETRİK BELİRTEÇLER VE ERİTROPOİETİN İHTİYACI

Öz:

Introduction: Studies have demonstrated that there is a correlation between malnutrition,inflammation, and erythropoietin requirement in adult hemodialysis patients. However, in geriatric hemodialysis patients, no evident data has been found associated with this relationship. Thepurpose of this study is to investigate the relation between malnutrition-inflammation score, erythropoietin requirement, and erythropoietin resistance in geriatric hemodialysis patients. Materials and Method: One hundred fifty-four adult hemodialysis patients were includedin this cross-sectional study. Erythropoietin resistance index, weekly erythropoietin dose, weeklyerythropoietin dose per weight, and malnutrition-inflammation score were calculated for all patients. Measurements of laboratory and anthropometric parameters associated with nutritionand inflammation were performed. Results: Mean age of 154 patients included in the study was 59.5±14.5 years; 81 were male and 68 were geriatric (age >=65 years). The median duration of dialysis was 36 months (interquartile range, 18-76). Mean malnutrition-inflammation score was found to be higher in geriatric patients than in adult patients (p=0.004). Malnutrition-inflammation score was determined incorrelation with weekly erythropoietin dose per weight in both geriatric and adult patient groups (p<0.001, r=0.484; p=0.029, r=0.235, respectively). Malnutrition-inflammation score was determined in correlation with erythropoietin resistance index in both geriatric and adult patientgroups (p<0.001, r=0.497; p=0.014, r=0.497, respectively). Conclusions: In both geriatric and adult (<65 years) hemodialysis patients, malnutrition-inflammation score is correlated with weekly erythropoietin dose per weight and erythropoietin resistance index. Moreover, malnutrition and inflammation is more often observed among geriatric hemodialysis patients compared with adult (<65 years) hemodialysis patients

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kaya T, Sipahi S, Karacaer C, nalbant a, VARIM C, CİNEMRE H, TAMER A (2015). MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS. , 3 - 9.
Chicago	Kaya Tezcan,Sipahi Savaş,Karacaer Cengiz,nalbant ahmet,VARIM Ceyhun,CİNEMRE Hakan,TAMER ALİ MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS. (2015): 3 - 9.
MLA	Kaya Tezcan,Sipahi Savaş,Karacaer Cengiz,nalbant ahmet,VARIM Ceyhun,CİNEMRE Hakan,TAMER ALİ MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS. , 2015, ss.3 - 9.
AMA	Kaya T,Sipahi S,Karacaer C,nalbant a,VARIM C,CİNEMRE H,TAMER A MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS. . 2015; 3 - 9.
Vancouver	Kaya T,Sipahi S,Karacaer C,nalbant a,VARIM C,CİNEMRE H,TAMER A MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS. . 2015; 3 - 9.
IEEE	Kaya T,Sipahi S,Karacaer C,nalbant a,VARIM C,CİNEMRE H,TAMER A "MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS." , ss.3 - 9, 2015.
ISNAD	Kaya, Tezcan vd. "MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS". (2015), 3-9.

APA	Kaya T, Sipahi S, Karacaer C, nalbant a, VARIM C, CİNEMRE H, TAMER A (2015). MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS. Türk Geriatri Dergisi, 18(1), 3 - 9.
Chicago	Kaya Tezcan,Sipahi Savaş,Karacaer Cengiz,nalbant ahmet,VARIM Ceyhun,CİNEMRE Hakan,TAMER ALİ MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS. Türk Geriatri Dergisi 18, no.1 (2015): 3 - 9.
MLA	Kaya Tezcan,Sipahi Savaş,Karacaer Cengiz,nalbant ahmet,VARIM Ceyhun,CİNEMRE Hakan,TAMER ALİ MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS. Türk Geriatri Dergisi, vol.18, no.1, 2015, ss.3 - 9.
AMA	Kaya T,Sipahi S,Karacaer C,nalbant a,VARIM C,CİNEMRE H,TAMER A MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS. Türk Geriatri Dergisi. 2015; 18(1): 3 - 9.
Vancouver	Kaya T,Sipahi S,Karacaer C,nalbant a,VARIM C,CİNEMRE H,TAMER A MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS. Türk Geriatri Dergisi. 2015; 18(1): 3 - 9.
IEEE	Kaya T,Sipahi S,Karacaer C,nalbant a,VARIM C,CİNEMRE H,TAMER A "MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS." Türk Geriatri Dergisi, 18, ss.3 - 9, 2015.
ISNAD	Kaya, Tezcan vd. "MALNUTRITION-INFLAMMATION SCORE, ANTHROPOMETRIC INDICES, AND ERYTHROPOIETIN REQUIREMENT IN GERIATRIC HEMODIALYSIS PATIENTS". Türk Geriatri Dergisi 18/1 (2015), 3-9.