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.
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.
Beto
J A
JA
Division of Renal Disease and Hypertension, Loyola University Medical Center, Maywood, IL, USA.
Bansal
V K
VK
Gohlke
N P
NP
Hano
J E
JE
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