Inflammatory Marker but Not Adipokine Predicts Mortality among Long-Term Hemodialysis Patients
Aims: chronic inflammation contributes significantly to the morbidity and mortality of chronic hemodialysis patients. A recent research has shown that adipokines were associated with inflammation in these patients. We aim to investigate whether biomarkers of inflammation, adipokines, and...
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doaj-3748203d81be407c819b41f8fb9730462020-11-24T21:43:30ZengHindawi LimitedMediators of Inflammation0962-93511466-18612007-01-01200710.1155/2007/1989119891Inflammatory Marker but Not Adipokine Predicts Mortality among Long-Term Hemodialysis PatientsYu-Che Tsai0Chien-Te Lee1Tiao-Lai Huang2Ben-Chung Cheng3Chien-Chun Kuo4Yih Su5Hwee-Yeong Ng6Chih-Chau Yang7Fong-Rong Chuang8Shang-Chih Liao9Division of Nephrology, Department of Internal Medicine, Chang-Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung Hsien 833, TaiwanDivision of Nephrology, Department of Internal Medicine, Chang-Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung Hsien 833, TaiwanDepartment of Psychiatry, Chang-Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung Hsien 833, TaiwanDivision of Nephrology, Department of Internal Medicine, Chang-Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung Hsien 833, TaiwanDepartment of International Trade, Cheng Shiu University, Kaohsiung Hsien 833, TaiwanDepartment of International Trade, Cheng Shiu University, Kaohsiung Hsien 833, TaiwanDivision of Nephrology, Department of Internal Medicine, Chang-Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung Hsien 833, TaiwanDivision of Nephrology, Department of Internal Medicine, Chang-Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung Hsien 833, TaiwanDivision of Nephrology, Department of Internal Medicine, Chang-Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung Hsien 833, TaiwanDivision of Nephrology, Department of Internal Medicine, Chang-Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, College of Medicine, Kaohsiung Hsien 833, TaiwanAims: chronic inflammation contributes significantly to the morbidity and mortality of chronic hemodialysis patients. A recent research has shown that adipokines were associated with inflammation in these patients. We aim to investigate whether biomarkers of inflammation, adipokines, and clinical features can predict the outcome of hemodialysis patients. Materials and methods: we enrolled 181 hemodialysis patients (men: 97, mean age: 56.3±13.6) and analyzed predictors of long-term outcomes. Results: during the 3-year followup period, 41 patients died; the main causes of death were infection and cardiovascular disease. Elevated serum levels of hsCRP and albumin and advanced age were highly associated with death (all P<.001). Leptin and adiponectin levels were not significantly different between deceased patients and survivors. Cox-regression analysis indicated that age, diabetes, albumin level, and hsCRP were independent factors predicting mortality. Conclusion: the presence of underlying disease, advanced age, and markers of chronic inflammation is strongly related to survival rate in long-term hemodialysis patients.http://dx.doi.org/10.1155/2007/19891 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yu-Che Tsai Chien-Te Lee Tiao-Lai Huang Ben-Chung Cheng Chien-Chun Kuo Yih Su Hwee-Yeong Ng Chih-Chau Yang Fong-Rong Chuang Shang-Chih Liao |
spellingShingle |
Yu-Che Tsai Chien-Te Lee Tiao-Lai Huang Ben-Chung Cheng Chien-Chun Kuo Yih Su Hwee-Yeong Ng Chih-Chau Yang Fong-Rong Chuang Shang-Chih Liao Inflammatory Marker but Not Adipokine Predicts Mortality among Long-Term Hemodialysis Patients Mediators of Inflammation |
author_facet |
Yu-Che Tsai Chien-Te Lee Tiao-Lai Huang Ben-Chung Cheng Chien-Chun Kuo Yih Su Hwee-Yeong Ng Chih-Chau Yang Fong-Rong Chuang Shang-Chih Liao |
author_sort |
Yu-Che Tsai |
title |
Inflammatory Marker but Not Adipokine Predicts Mortality among Long-Term Hemodialysis Patients |
title_short |
Inflammatory Marker but Not Adipokine Predicts Mortality among Long-Term Hemodialysis Patients |
title_full |
Inflammatory Marker but Not Adipokine Predicts Mortality among Long-Term Hemodialysis Patients |
title_fullStr |
Inflammatory Marker but Not Adipokine Predicts Mortality among Long-Term Hemodialysis Patients |
title_full_unstemmed |
Inflammatory Marker but Not Adipokine Predicts Mortality among Long-Term Hemodialysis Patients |
title_sort |
inflammatory marker but not adipokine predicts mortality among long-term hemodialysis patients |
publisher |
Hindawi Limited |
series |
Mediators of Inflammation |
issn |
0962-9351 1466-1861 |
publishDate |
2007-01-01 |
description |
Aims: chronic inflammation contributes significantly to the morbidity and
mortality of chronic hemodialysis patients. A recent research has shown that adipokines were associated
with inflammation in these patients. We aim to investigate whether biomarkers of inflammation, adipokines, and
clinical features can predict the outcome of hemodialysis patients. Materials and methods: we
enrolled 181 hemodialysis patients (men: 97, mean age: 56.3±13.6) and analyzed predictors of long-term outcomes. Results: during the 3-year
followup period, 41 patients died; the main causes of death were infection and cardiovascular disease. Elevated
serum levels of hsCRP and albumin and advanced age were highly associated with death
(all P<.001). Leptin and adiponectin levels were not significantly different between deceased patients
and survivors. Cox-regression analysis indicated that age, diabetes, albumin level, and hsCRP were independent
factors predicting mortality. Conclusion: the presence of underlying disease, advanced age, and
markers of chronic inflammation is strongly related to survival rate in long-term hemodialysis patients. |
url |
http://dx.doi.org/10.1155/2007/19891 |
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