Metabolic syndrome predicts hospitalization in hemodialysis patients: a prospective Asian cohort study.
OBJECTIVE
Metabolic syndrome (MS) increases morbidity and mortality in the general population. The effects of individual components of MS differ in hemodialysis (HD) patients, but the composite effects of MS in this population are unknown.


METHODS
We performed a prospective, cohort study including 235 HD patients who were followed up for 3 years. We used modified Asian criteria of the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) to define the presence of MS, and compared the hospitalizations and deaths in patients with and without MS.


RESULTS
Patients with MS had a lower hospitalization-free ratio, greater annual hospitalization days and frequency than those without MS. The relative risk of the presence of MS was 1.669 in predicting first hospitalization for all causes.


CONCLUSIONS
The modified Asian criteria for MS successfully predicted the risk of hospitalization as compared with NCEP ATP III criteria in HD patients.
Yang
Shao-Yu
SY
Department of Internal Medicine, Far Eastern Memorial Hospital, National Taiwan University, Taipei, Taiwan.
Chiang
Chih-Kang
CK
Hsu
Shih-Ping
SP
Peng
Yu-Sen
YS
Pai
Mei-Fen
MF
Ho
Tai-I
TI
Hung
Kuan-Yu
KY
Wu
Kwan-Dun
KD
D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology; D002423:Cause of Death; D015331:Cohort Studies; D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007239:Infections / Q000453:epidemiology; D007676:Kidney Failure, Chronic / Q000097:blood / Q000453:epidemiology / Q000628:therapy; D016030:Kidney Transplantation / Q000706:statistics & numerical data; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology*; D008875:Middle Aged; D011446:Prospective Studies; D006435:Renal Dialysis; D012306:Risk; D016019:Survival Analysis; D013624:Taiwan / Q000453:epidemiology