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Torres R, Reina M, Olivares O, Rosselli C, Montoya M, Reales M, Andrade D, Centeno C, Briceño R, Buitrago D, Hernández L, Morales J, Delgado C, Gresott E, Gutiérrez G, Molina C. Incidence of major cardiovascular events at 1, 2, and 5 years and mortality in incident patients on peritoneal dialysis regarding their nutritional status by bioimpedanciometry: A multicenter study in Colombia. Semin Dial 2024; 37:228-233. [PMID: 38099410 DOI: 10.1111/sdi.13190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 11/14/2023] [Accepted: 11/24/2023] [Indexed: 04/26/2024]
Abstract
BACKGROUND The nutritional status of incident patients on peritoneal dialysis (PD) has been associated with survival outcomes. Bioimpedanciometry (BCM) enables to establish a nutritional diagnosis, the volume status, and correlates these findings with survival. METHODS This study used a retrospective multicenter historical cohort. RESULTS In this study, which included 420 incident patients on peritoneal dialysis with a 5-year follow-up, a cumulative incidence of major adverse cardiovascular events (MACE) of 28.8% was found, being higher in the diabetic population at 36.8%. In regard to the nutritional status in this population, it was found that approximately 44% had altered nutritional status; 34% were found to be in sarcopenia; 6.7% sarcopenic obesity; and 2.8% in obesity (p < 0.001). In the survival analysis, a lower probability of survival was found in patients with overhydration (OH) greater than 3 L (p < 0.001) and in patients with altered nutritional status due to sarcopenia, sarcopenic obesity, and obesity (p 0.016). According to survival in the subgroup of the diabetic population, a lower probability of survival was found in this group of patients (p: 0.011). The overall mortality of the study population was 18%, being higher in the first 2 years, with the most important causes of mortality being cardiovascular. Of the deceased population, 51% were diabetic patients (p: 0.012). CONCLUSION In incident patients on peritoneal dialysis, sarcopenic obesity, sarcopenia, overhydration status determined by BCM, and having a diagnosis of diabetes are related to a lower probability of survival; MACE outcomes are more frequent in the diabetic population.
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Affiliation(s)
- Rodolfo Torres
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - Maricely Reina
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - Orlando Olivares
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - Carlos Rosselli
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - María Montoya
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
| | - Marginis Reales
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
| | - David Andrade
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
| | - Carlos Centeno
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - Robert Briceño
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - David Buitrago
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | | | - Jesús Morales
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - Caterin Delgado
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - Ella Gresott
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | | | - Carolina Molina
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
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