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Pregled bibliografske jedinice broj: 759287

Zbornik radova

Autori: Orlić, Lidija; Mikolašević, Ivana; Crnčević Orlić, Željka
Naslov: The impact of the mineral density of the skeleton on the survival of patients in hemodialysis
Izvornik: Knjiga sažetaka ; 4th Congress of Nephrology of Bosnia and Herzegovina with international participation / Enisa Mesić (ur.). - Sarajevo :
Skup: 4th Congress of Nephrology of Bosnia and Herzegovina with international participation
Mjesto i datum: Sarajevo, BIH, 22.-25.travnja, 2015.
Ključne riječi: chronic hemodialysis; bone mineral density; survival; forearm; skeletal regions
Sažetak:
AIM: The aim of present analysis was to determine the relationship between BMD assessed by T and Z score and mortality risk in hemodialysis (HD) patients. Also we were explore which skeletal sites are the best in predicting mortality rate. METHODS: In the present study we have analyzed the survival of 102 patients that were treated with chronic HD according to the bone mineral density (BMD). RESULT: Patients who had T score ≤ 2.5 at mid part of forearm, at ultradistal and proximal part of forearm had a higher risk for death than those patients who had T score ≥ -2.5 On the other hand, we didn’t find any statistically significant association between losses of bone mass at other measuring points ; lumbar spine (antero-posterior orientation from L1-L4) and hip (neck, trochanter, intertrochanter, total and Ward's triangle) and mortality risk. Next we were interested to explore the relationship between Z score in different skeletal regions and mortality risk. We have founded that patients who had Z score ≤ - 1 at all three parts of forearm had a great mortality risk. Also, Z score obtained at all three parts of forearm was an even better predictor of mortality in comparison to T-score in the same skeletal regions. CONCLUSION: Based at our experience, BMD assessed should be obtained at forearm because this skeletal site is a good predictor of mortality in HD patients. Furthermore, data about bone density should be reported as Z-scores.
Vrsta sudjelovanja: Predavanje
Vrsta prezentacije u zborniku: Sažetak
Vrsta recenzije: Međunarodna recenzija
Izvorni jezik: ENG
Kategorija: Znanstveni
Znanstvena područja:
Kliničke medicinske znanosti
Upisao u CROSBI: Sanjin Rački (sanjin.racki@uniri.hr), 26. Tra. 2015. u 00:16 sati



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