BMI对透析患者死亡率的影响.pdf

ORIGINAL RESEARCH Effect of body mass index and albumin on mortality rates for adult African-American hemodialysis patients 1 1 Edna Feingold, DNP, ACNP-BC (Graduate Student) , Judy Adams, DNP, FNP-C (Graduate Student) , Barbara Penprase, PhD, CNE, ANEF (Professor)1 , Boniface Tubie, MD, FACP (Physician)2 1School of Nursing, Oakland University, Rochester, Michigan 2 Great Lakes Dialysis LLC, Detroit, Michigan Keywords Abstract African-American adult; hemodialysis; albumin; body mass index; mortality. Purpose: The purpose of this retrospective descriptive study was to investigate if body mass index (BMI) and serum albumin (SA) impacted mortality rates in Correspondence adult African-American patients on hemodialysis (HD). Barbara Penprase, PhD, CNE, ANEF, School of Data sources: Records of 204 patients on HD (N = 204) from a clinic in Nursing, Oakland University, 2002 HHB, the metropolitan Detroit area were examined for the period January 1, 2007– Rochester, MI 48309-4401. December 31, 2012 to determine the relationship of BMI and SA on mortality Tel: 248-364-8712 (work), 248-892-0354 (cell); rates in this population. Logistics regression was utilized to analyze the associa- Fax: 248-364-8760; E-mail: penprase@ tion of several risk factors (BMI and SA) on survival (mortality rates). Conclusion: Research findings from this study demonstrated that both un- Received: 1 May 2014; dernourishment (being underweight; BMI 23 kg/m2 ) and hypoalbuminemia accepted: 16 November 2014