Inflamación en hemodiálisis y su correlación con los índices neutrófilos/linfocitos y plaquetas/linfocitos

Valencia, Venice Chávez; Cruz, Citlalli Orizaga de la; Mejía-Rodríguez, Oliva; Castellanos, Sergio Gutiérrez; Lagunas‐Rangel, Francisco Alejandro; Sandoval, Martha Eva Viveros

doi:10.1016/j.nefro.2016.12.006

Cited by 6 publications

(1 citation statement)

References 7 publications

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“…The results of our study showed that the following factors contributed to the higher risk of death: the presence of heart and vessels implants and severe infection with hypotension, high leukocytosis, thrombocytopenia and a high ratio of leukocytes to platelets. Previous reports confirmed an unfavourable prognosis for cases of similar constellation of inflammatory parameters in dialyzed patients [11,13,[29][30][31][32]. The present study also demonstrated that the presence of artificial devices and biomaterials increase mortality risk in the course of infection in patients dialyzed with permanent catheters (OR = 7.5; 95%CI: 1.193-47.159; P = 0,027).…”

Section: Discussionsupporting

confidence: 87%

Infection-related complications in patients with end stage renal failure dialyzed through a permanent catheter

et al. 2020

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Introduction: Progression of renal failure leads to an increase in the number of patients who require forming dialysis access. Old age and rising morbidity make it impossible to form a native arteriovenous fistula and a permanent catheter becomes the first choice. The presence of a catheter frequently generates complications, including infections, which may result in a higher mortality rate. Material and methods: A retrospective analysis data has been conducted, involving 398 patients who had permanent catheters implanted from 2010 to 2016. Out of this group, 65 patients who suffered infectionrelated complications have been identified. Risk factors for infection and a survival rate of the population have been estimated. Results: Between 2010 and 2016, 495 catheters were implanted for 398 patients aged 68.73 (13.26) years on average. 92 catheter-related infections (23.1%) were recorded in 65 patients. Multivariate logistic regression showed, that the risk factors of infectious complications were: younger age (P = 0.000), coronary artery disease (P = 0.006) and heart failure (P = 0.000). Mortality in the mean 1.38 ± 1.17 years followup period was comparable in infectious and non-infectious subgroups (53.85% vs 49.25%; P = 0.588). A higher risk of death in the infectious population was associated with the presence of additional intravascular and intracardiac implanted materials (P = 0.027) and a severe course of infection with hypotension (P = 0.027), thrombocytopenia (P = 0.029) and a high leucocytes/platelets ratio (0.017). Conclusion: Infectious complications in patients dialyzed with permanent catheters are dangerous especially in patients with severe clinical course. The mortality rate is high, although similar to all dialyzed by permanent catheters.

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Section: Discussionsupporting

confidence: 87%

Infection-related complications in patients with end stage renal failure dialyzed through a permanent catheter

et al. 2020

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A novel prognostic system based on clinical and laboratory parameters for childhood Guillain–Barre syndrome

et al. 2022

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Monocyte‐to‐lymphocyte ratio and gastrointestinal disorder‐related hospitalization in patients on maintenance hemodialysis

Tian,

Yuan,

et al. 2023

Ther Apher Dial

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IntroductionTo explore the association between monocyte‐to‐lymphocyte ratio (MLR) and the risk of hospitalization due to gastrointestinal (GI) disorder in hemodialysis (HD) patients.MethodsIn this multicenter, observational cohort study, 1626 patients were enrolled in 2019 and followed up to 2 years. Cox regression models were performed to estimate the association of MLR with GI disorder‐related hospitalization risk. Receiver‐operating characteristic (ROC) analyses were conducted to evaluate the cutoff value of MLR in identifying GI disorder‐related hospitalization.ResultsDuring a median follow‐up of 24 months, GI disorder‐related hospitalization occurred in 107 patients. Higher MLR was independently associated with greater risks of GI disorder‐related hospitalization. Furthermore, a cut‐off value of 0.42 differentiated patients with GI disorder‐related hospitalization from those without GI involvement.ConclusionMLR was associated with the occurrence of GI disorder‐related hospitalization in HD patients. The blood MLR could be monitored as a useful marker to predict GI disorder‐related hospitalization.

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Inflamación en hemodiálisis y su correlación con los índices neutrófilos/linfocitos y plaquetas/linfocitos

Cited by 6 publications

References 7 publications

Infection-related complications in patients with end stage renal failure dialyzed through a permanent catheter

Infection-related complications in patients with end stage renal failure dialyzed through a permanent catheter

A novel prognostic system based on clinical and laboratory parameters for childhood Guillain–Barre syndrome

Monocyte‐to‐lymphocyte ratio and gastrointestinal disorder‐related hospitalization in patients on maintenance hemodialysis

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