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Serum Ferritin Predicts Mortality Regardless of Inflammatory and Nutritional Status in Patients Starting Dialysis: A Prospective Cohort Study

 Park K.S.  ;  Ryu G.W.  ;  Jhee J.H.  ;  Kim H.W.  ;  Park S.  ;  Lee S.A.  ;  Kwon Y.E.  ;  Kim Y.L.  ;  Ryu H.J.  ;  Lee M.J.  ;  Han S.H.  ;  Yoo T.-H.  ;  Kim Y.-L.  ;  Kim Y.S.  ;  Yang C.W.  ;  Kim N.-H.  ;  Kang S.-W.  ;  Park J.T. 
 Blood Purification, Vol.40(3) : 209-217, 2015 
Journal Title
 Blood Purification 
Issue Date
BACKGROUND: The impact of serum ferritin on prognosis in patients starting hemodialysis (HD) is not fully elucidated. METHODS: A prospective cohort of 946 incident HD patients from 26 dialysis centers in Korea was selected for this study. Patients were divided into tertiles according to natural logarithm (Ln) ferritin concentrations. RESULTS: During a median follow-up of 39 months, 88 (9.3%) patients died. Multivariate Cox proportional hazard analysis demonstrated that Ln ferritin was independently associated with an increase in cardiovascular mortality risk (hazard ratio (HR) 1.604, 95% CI 1.040-2.474, p = 0.033), infection-related mortality risk (HR 1.916, 95% CI 1.056-3.476, p = 0.032), and all-cause mortality risk (HR 1.547, 95% CI 1.156-2.069, p = 0.003). CONCLUSION: Serum ferritin levels at the time of HD commencement were a significant independent risk factor for mortality regardless of systemic inflammation and nutritional status. Therefore, elevated serum ferritin levels could be an effective indicator for prognosis.
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1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
강신욱(Kang, Shin Wook) ; 권영은(Kwon, Young Eun) ; 김영리(Kim, Yung Ly) ; 김형우(Kim, Hyung Woo) ; 류근우(Ryu, Geun Woo) ; 류한작(Ryu, Han Jak) ; 박경숙(Park, Kyoung Sook) ; 박서현(Park, Seo Hyun) ; 박정탁(Park, Jung Tak) ; 유태현(Yoo, Tae Hyun) ; 이미정(Lee, Mi Jung) ; 이슬아(Lee, Sul A) ; 지종현(Jhee, Jong Hyun) ; 한승혁(Han, Seung Hyeok)
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