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  • 标题:Comparison of the Clinical Implications among Five Different Nutritional Indices in Patients with Lupus Nephritis
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  • 作者:Sung Soo Ahn ; Juyoung Yoo ; Seung Min Jung
  • 期刊名称:Nutrients
  • 电子版ISSN:2072-6643
  • 出版年度:2019
  • 卷号:11
  • 期号:7
  • 页码:1456-1468
  • DOI:10.3390/nu11071456
  • 出版社:MDPI Publishing
  • 摘要:Systemic lupus erythematosus (SLE) is characterized with aberrant responses in the immune systems and lupus nephritis (LN) is one of the most serious complications of SLE. This study evaluated the clinical significance of different nutritional indices in 207 renal biopsy-proven LN patients. The clinical and laboratory data were reviewed, and five different nutritional indices were calculated: (i) Controlling nutritional status (CONUT) score; (ii) prognostic nutritional index (PNI); (iii) nutritional risk index; (iv) neutrophil-to-lymphocyte ratio; and (v) body mass index. The factors associated with end-stage renal failure (ESRF) were assessed using a Cox-proportional hazard analysis. The patients with ESRF had significantly lower median PNI (31.1 vs. 34.7, p = 0.012) than those without ESRF at baseline. The CONUT score and PNI had the highest correlation between the SLE disease activity index-2000 (r = 0.467 and p = −0.356, all p 35.41 (p = 0.003). Among nutritional indices, the CONUT score and PNI better correlated with disease activity and PNI was associated with ESRF.
  • 关键词:lupus nephritis; end-stage renal failure; nutrition; index; prognosis lupus nephritis ; end-stage renal failure ; nutrition ; index ; prognosis
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