title: Using the hemodialysis prognostic nutrition index and urea reduction ratio to predict morbidity and mortality: a pilot study of the 1995 council on renal nutrition national research question.
abstract: OBJECTIVE
  To validate the use of the hemodialysis prognostic nutrition index (HPNI) in an alternate hemodialysis population and to determine if use of urea reduction ratio would improve use in outcome prediction for morbidity and mortality.
  
  
  METHODS
  Prospective random cohort.
  
  
  METHODS
  Hospital based non-for-profit outpatient dialysis unit.
  
  
  METHODS
  Forty chronic hemodialysis patients, 50% men, 50% black, 16% diabetic, 67.2 mean months on hemodialysis, mean age 54.5 years.
  
  
  METHODS
  None; observational; tracking of routinely collected demographic, biochemical, and clinical data.
  
  
  METHODS
  Number of times and days hospitalized, mortality
  
  
  RESULTS
  Plotting of HPNI against urea reduction ratio produced risk quadrants for hospitalization that were more predictive than HPNI alone.
  
  
  CONCLUSIONS
  Application continues as a multicenter collaborative Council on Renal Nutrition National Research Question.
authors.affiliation: Division of Renal Disease and Hypertension, Loyola University Medical Center, Maywood, IL, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Beto
authors.forename: V K
authors.initials: VK
authors.lastname: Bansal
authors.forename: N P
authors.initials: NP
authors.lastname: Gohlke
authors.forename: J E
authors.initials: JE
authors.lastname: Hano
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001806:Blood Urea Nitrogen; D002648:Child; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D009752:Nutritional Status; D010865:Pilot Projects; D011379:Prognosis; D011446:Prospective Studies; D006435:Renal Dialysis; D016896:Treatment Outcome