Simplified Subjective Global Assessment at Hemodialysis Initiation and Its Association with 2-Year Mortality and Hospitalization.

IF 2.1 4区医学 Q2 PERIPHERAL VASCULAR DISEASE

Kidney & blood pressure research Pub Date : 2026-01-01 Epub Date: 2026-06-27 DOI:10.1159/000553346

Kotaro Doi, Kana Suzuki, Mikie Imafuku, Yohei Komaru, Teruhiko Yoshida, Ryo Matsuura, Masaomi Nangaku, Yoshifumi Hamasaki

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引用次数: 0

Abstract

Introduction: Nutritional risk assessment, which is necessary for initiating appropriate nutritional therapy to improve prognosis, should be as simple as possible to perform, particularly when direct patient contact is limited. We examined whether simplified Subjective Global Assessment (SGA), a modified SGA method omitting physical examination components, is associated with prognosis in patients with kidney failure starting hemodialysis (HD).

Methods: Retrospectively, we reviewed the medical records of patients who initiated HD between 2016 and 2018. Based on these records, two dialysis nurses independently assessed each patient's nutritional status using simplified SGA and categorized them as well-nourished (W) or malnourished (M). Patients were classified into 3 groups (W-W, W-M, and M-M) according to the combination of the 2 assessments. The primary composite outcome was death or hospitalization within 2 years.

Results: A total of 138 patients starting HD (mean age 66.8 years; 70% male) were examined. According to simplified SGA, 97 (70%), 25 (18%), and 16 (12%) patients were categorized respectively as W-W, W-M, and M-M. Kaplan-Meier analysis showed significantly lower survival and hospitalization-free rates in the M-M group (p < 0.001 and = 0.024, respectively). Cox proportional hazards analysis demonstrated significant association between the M-M category and the primary outcome (hazard ratio 3.34, 95% confidence interval 1.52-7.36).

Conclusion: Simplified SGA scores might be associated with 2-year adverse outcomes in patients starting HD.

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血液透析开始时的简化主观总体评估及其与2年死亡率和住院率的关系。

营养风险评估对于启动适当的营养治疗以改善预后是必要的，应尽可能简单地进行，特别是在患者直接接触有限的情况下。我们研究了简化主观整体评估（SGA）是否与开始血液透析（HD）的肾衰竭患者的预后有关，SGA是一种改进的SGA方法，省略了体检成分。方法：回顾性分析2016年至2018年HD患者的病历。根据这些记录，两名透析护士使用简化SGA独立评估每位患者的营养状况，并将其分类为营养良好(W)或营养不良(M)。根据两种评估的结合将患者分为W-W、W-M和M-M三组。主要综合结局为两年内死亡或住院。结果：共检查了138例HD患者（平均年龄66.8岁，70%为男性）。根据简化SGA，分别有97例（70%）、25例（18%）和16例（12%）患者被分为W-W、W-M和M-M。Kaplan-Meier分析显示M-M组的生存率和无住院率显著降低（p < 0.001和= 0.024）。Cox比例风险分析显示M-M类别与主要结局之间存在显著相关性（风险比3.34,95%可信区间1.52-7.36）。结论：简化SGA评分可能与HD患者2年不良结局相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Kidney & blood pressure research 医学-泌尿学与肾脏学

CiteScore

4.80

自引率

3.60%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal comprises both clinical and basic studies at the interface of nephrology, hypertension and cardiovascular research. The topics to be covered include the structural organization and biochemistry of the normal and diseased kidney, the molecular biology of transporters, the physiology and pathophysiology of glomerular filtration and tubular transport, endothelial and vascular smooth muscle cell function and blood pressure control, as well as water, electrolyte and mineral metabolism. Also discussed are the (patho)physiology and (patho) biochemistry of renal hormones, the molecular biology, genetics and clinical course of renal disease and hypertension, the renal elimination, action and clinical use of drugs, as well as dialysis and transplantation. Featuring peer-reviewed original papers, editorials translating basic science into patient-oriented research and disease, in depth reviews, and regular special topic sections, ''Kidney & Blood Pressure Research'' is an important source of information for researchers in nephrology and cardiovascular medicine.