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Predictors of mortality in patients returning to dialysis after allograft loss

Authors
 Park J.T.  ;  Yoo T.H.  ;  Chang T.I.  ;  Lee J.H.  ;  Lee D.H.  ;  Kim B.S.  ;  Kang S.-W.  ;  Lee H.Y.  ;  Kim M.S.  ;  Kim S.I.  ;  Kim Y.S.  ;  Choi K.H. 
Citation
 Blood Purification, Vol.30(1) : 56-63, 2010 
Journal Title
 Blood Purification 
ISSN
 0253-5068 
Issue Date
2010
Abstract
BACKGROUND: Although patients requiring dialysis after graft loss are increasing, data regarding the outcomes of patients on dialysis after graft loss are limited. We investigated the characteristics and risk factors for mortality in patients reinitiating dialysis after graft loss. METHODS: A retrospective analysis was done for 292 patients who reinitiated dialysis after graft loss between 1985 and 2006. RESULTS: The mean glomerular filtration rate (GFR) at dialysis reinitiation was 9.1 +/- 4.6 ml/min/1.73 m(2). Cardiovascular disease was the most common cause of death during the 67.4 +/- 50.6 months of follow-up. History of diabetes (HR 4.11, p = 0.02), new-onset diabetes after transplantation (HR 1.96, p = 0.03), Charlson comorbidity index score (HR 1.66, p = 0.03), and low serum albumin levels (HR 0.42, p = 0.03) were independent risk factors for mortality. However, GFR at dialysis reinitiation was not. CONCLUSIONS: Comorbid conditions, new-onset diabetes after transplantation, and hypoalbuminemia predicted mortality in patients who returned to dialysis after graft failure.
Full Text
http://www.karger.com/Article/FullText/317122
DOI
10.1159/000317122
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
강신욱(Kang, Shin Wook) ORCID logo https://orcid.org/0000-0002-5677-4756
김명수(Kim, Myoung Soo) ORCID logo https://orcid.org/0000-0002-8975-8381
김범석(Kim, Beom Seok) ORCID logo https://orcid.org/0000-0002-5732-2583
김순일(Kim, Soon Il) ORCID logo https://orcid.org/0000-0002-0783-7538
김유선(Kim, Yu Seun) ORCID logo https://orcid.org/0000-0002-5105-1567
박정탁(Park, Jung Tak) ORCID logo https://orcid.org/0000-0002-2325-8982
유태현(Yoo, Tae Hyun) ORCID logo https://orcid.org/0000-0002-9183-4507
이동형(Lee, Dong Hyoung)
이주현(Lee, Joo Hyun)
이호영(Lee, Ho Yung)
장태익(Chang, Tae Ik)
최규헌(Choi, Kyu Hun) ORCID logo https://orcid.org/0000-0003-0095-9011
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101233
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