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10.1007/s11255-019-02073-w

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suck abstract from ncbi

pmid30977017      Int+Urol+Nephrol 2019 ; 51 (6): 1043-1052
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  • Hypomagnesemia is not an independent risk factor for mortality in Japanese maintenance hemodialysis patients #MMPMID30977017
  • Mizuiri S; Nishizawa Y; Yamashita K; Naito T; Ono K; Tanji C; Usui K; Doi S; Masaki T; Shigemoto K
  • Int Urol Nephrol 2019[Jun]; 51 (6): 1043-1052 PMID30977017show ga
  • PURPOSE: It is unclear whether hypomagnesemia is an independent risk factor or innocent bystander for mortality in maintenance hemodialysis (MHD) patients. Thus, we studied associations between hypomagnesemia and all-cause as well as cardiovascular (CV) mortality in MHD patients. METHODS: Baseline clinical characteristics and coronary artery calcium score (CACS) of 353 Japanese MHD patients were reviewed. Three-year survival rate and mortality risk factors were assessed. RESULTS: Median (interquartile range) age, dialysis vintage, serum magnesium (Mg), serum albumin and CACS of the subjects were 68 (60-78) years, 75 (32-151) months, 2.4 (2.2-2.7) mg/dl, 3.6 (3.3-3.8) g/dl, and 1181 (278-3190), respectively. During the 3-year period, 91 patients died. Kaplan-Meier overall 3-year survival rates were 59.0% in in patients with Mg < 2.4 mg/dl (n = 136) and 82.3% in patients with Mg >/= 2.4 mg/dl (n = 217), (P < 0.0001). In Cox regression models not incorporating serum albumin, Mg < 2.4 mg/dl was significantly associated with 3-year all-cause death, independent of age, dialysis vintage, average ultrafiltration, Log (CACS + 1), warfarin use, serum potassium, high-sensitivity C-reactive protein (hsCRP), phosphate, uric acid, and intact parathyroid hormone [Hazard ratio (HR) 95% confidence interval (CI): 2.82 (1.31-6.29), P = 0.0078], and CV death, independent of age, dialysis vintage, Log (CACS + 1), warfarin use, serum hsCRP, and uric acid [HR (95% CI): 4.47 (1.45-16.76), P = 0.0086]. Nevertheless, associations of Mg < 2.4 mg/dl with all-cause and CV mortality were all absent in models that included serum albumin. CONCLUSIONS: Hypomagnesemia is not an independent risk factor for mortality but is associated with malnutrition in MHD patients.
  • |*Renal Dialysis[MESH]
  • |Aged[MESH]
  • |Cardiovascular Diseases/*etiology/*mortality[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Japan[MESH]
  • |Magnesium/*blood[MESH]
  • |Male[MESH]
  • |Metabolic Diseases/*etiology/*mortality[MESH]
  • |Middle Aged[MESH]
  • |Prospective Studies[MESH]
  • |Renal Insufficiency, Chronic/complications/*mortality/*therapy[MESH]
  • |Risk Factors[MESH]


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