接受血液透析的患者短期体力活动与死亡率和住院率的关系。

IF 3.4 3区 医学 Q2 NUTRITION & DIETETICS
Juri Uchida PT, MSc , Yuta Suzuki PT, PhD , Keigo Imamura PT, PhD , Shun Yoshikoshi PT, MSc , Takuya Nakajima PT, MSc , Narumi Fukuzaki PT, MSc , Manae Harada PT, PhD , Kentaro Kamiya PT, PhD , Ryota Matsuzawa PT, PhD , Atsuhiko Matsunaga PT, PhD
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引用次数: 0

摘要

目的:推荐使用短期体能测试(SPPB)来评估血液透析(HD)患者的体能。然而,这些患者的SPPB评分与长期健康结果之间的关系尚不清楚。我们研究了SPPB评分与HD患者全因死亡率、全因住院和心血管住院的关系。设计和方法:这项回顾性队列研究包括326名接受门诊HD治疗的患者(平均年龄68岁;62%为男性)。将这些患者分为2组:低(SPPB≤9)和高(SPPB>9)。我们使用Cox回归分析研究了SPPB评分及其随时间变化与健康结果的关系。结果:SPPB评分低与全因死亡率(危险比[HR]:3.19,95%置信区间[95%CI]:1.89-5.38)、全因住院(HR:2.01,95%CI:1.44-2.82)和心血管住院(HR2:2.20,95%CI+1.45-3.35)的风险较高相关。此外,一年内SPPB评分的变化与健康结果相关。结论:SPPB评分越低,全因死亡率、全因住院和心血管住院的风险越高。SPPB可能是HD患者风险分层的一个有价值的指标。此外,预防性治疗可能是一种有效的管理策略,可以限制SPPB评分降低患者的高死亡率和住院率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Association of Short Physical Performance Battery With Mortality and Hospitalization in Patients Receiving Hemodialysis

Objective

The Short Physical Performance Battery (SPPB) is recommended for evaluating physical performance in patients on hemodialysis (HD). However, the association between SPPB score and long-term health outcomes in these patients remains unclear. We examined the association of SPPB score with all-cause mortality, all-cause hospitalization, and cardiovascular hospitalization in patients on HD.

Design and Methods

This retrospective cohort study included 326 patients (median age, 68 years; 62% men) who received outpatient HD therapy. These patients were divided into 2 SPPB groups: low (SPPB ≤9) and high (SPPB >9). We investigated the association of SPPB score and their change over time with health outcomes using Cox regression analysis.

Results

Low SPPB score was associated with a higher risk for all-cause mortality (hazard ratio [HR]: 3.19, 95% confidence interval [95% CI]: 1.89-5.38), all-cause hospitalization (HR: 2.01, 95% CI: 1.44-2.82), and cardiovascular hospitalization (HR: 2.20, 95% CI: 1.45-3.35). Additionally, change in SPPB score over 1 year was associated with health outcomes.

Conclusions

Lower SPPB score was significantly associated with a higher risk for all-cause mortality, all-cause hospitalization, and cardiovascular hospitalization. The SPPB may be a valuable indicator for risk stratification in patients on HD. Additionally, preventive treatments may be an effective management strategy in limiting the high mortality and hospitalization rates in patients with decreased SPPB score.

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来源期刊
Journal of Renal Nutrition
Journal of Renal Nutrition 医学-泌尿学与肾脏学
CiteScore
5.70
自引率
12.50%
发文量
146
审稿时长
6.7 weeks
期刊介绍: The Journal of Renal Nutrition is devoted exclusively to renal nutrition science and renal dietetics. Its content is appropriate for nutritionists, physicians and researchers working in nephrology. Each issue contains a state-of-the-art review, original research, articles on the clinical management and education of patients, a current literature review, and nutritional analysis of food products that have clinical relevance.
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