Controlling Nutritional Status Score is Associated with All-Cause Mortality in Patients with Antineutrophil Cytoplasmic Antibody-Associated Vasculitis
Yonsei Medical Journal
;
: 1164-1173, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-762068
ABSTRACT
PURPOSE:
The controlling nutritional status (CONUT) score was developed to detect undernutrition in patients. Here, we investigated whether the CONUT score estimated at diagnosis could help predict poor outcomes [all-cause mortality, relapse, and end-stage renal disease (ESRD)] of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV). MATERIALS ANDMETHODS:
We retrospectively reviewed and collated data, including baseline characteristics, clinical manifestations (to calculate AAV-specific indices), and laboratory results, from 196 newly diagnosed AAV patients. Serum albumin, peripheral lymphocyte, and total cholesterol levels (at diagnosis) were used to calculate CONUT scores.RESULTS:
In total, 111 patients had high CONUT scores (≥3), which showed higher frequency of myeloperoxidase-ANCA and ANCA positivity, and demonstrated higher AAV-specific indices. The optimal cut-offs of CONUT score (at diagnosis) for predicting all-cause mortality and ESRD were ≥3.5 and ≥2.5, respectively. Patients with CONUT scores higher than the cut-off at diagnosis exhibited lower cumulative and ESRD-free survival rates compared to those with lower scores than the cut-off. In multivariable analyses, diabetes mellitus [hazard ratio (HR) 4.394], five-factor score (HR 3.051), and CONUT score ≥3.5 (HR 4.307) at diagnosis were independent predictors of all-cause mortality, while only serum creatinine (HR 1.714) was an independent predictor of ESRD occurrence.CONCLUSION:
CONUT score at diagnosis is associated with all-cause mortality in AAV patients.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Recidiva
/
Vasculite
/
Albumina Sérica
/
Linfócitos
/
Colesterol
/
Estado Nutricional
/
Taxa de Sobrevida
/
Estudos Retrospectivos
/
Mortalidade
/
Anticorpos Anticitoplasma de Neutrófilos
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Yonsei Medical Journal
Ano de publicação:
2019
Tipo de documento:
Artigo
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