Renal function at the time of nephrology referral but not dialysis initiation as a risk for death in patients with diabetes mellitus
Clinical Kidney Journal Jun 07, 2018
Pinier C, et al. - In this retrospective analysis, researchers investigated risk factors for death in renal patients with diabetes mellitus who were at very high risk of death before and after chronic dialysis initiation. They examined patients with diabetes mellitus consecutively followed up in the 2000–13 period in a nephrology setting. They found that significant risk factors for death in patients with diabetes mellitus were high systolic and low diastolic arterial pressure, peripheral artery disease and development of acute kidney injury (AKI) and heart failure (HF). estimated glomerular filtration rate (eGFR) <45 mL/min/1.73 m2 at the time of referral was also identified as a powerful risk factor for death over and above these parameters.
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