Surrogates of nutritional status as prognostic indicators for elderly hemodialysis patients
In an unprecedented fashion, the patient with end-stage renal disease (ESRD) is subjected to analysis of laboratory variables on a frequent and routine basis. The nephrologist has to evaluate this large data base to determine if the dialysis and ancillary therapies are adequate for the individual patient and appropriate for any emerging problems. Although we have known for over two decades that patients with ESRD on maintenance hemodialysis are at a significantly greater risk of protein-calorie malnutrition [1–6], this major clinical problem is still neglected. However, as will be discussed at length, the use of selected common laboratory variables can provide an accurate and clinically relevant assessment of a patient’s nutritional health.
KeywordsHemodialysis Patient Serum Creatinine Concentration Plasma Amino Acid Laboratory Variable Death Risk
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