Risk of hospitalization associated with body mass index and weight changes among prevalent haemodialysis patients

Juan J. Carrero, Ivan Cabezas-Rodríguez, Abdul R. Qureshi, Jürgen Floege, Markus Ketteler, Gerard London, Francesco Locatelli, Dimitrios Memmos, David Goldsmith, Aníbal Ferreira, Judit Nagy, Vladimir Teplan, Carlos Martínez-Salgado, José L. Fernández-Martín, Carmine Zoccali, Jorge B. Cannata-Andia

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)
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Abstract

© 2018 Sociedad Española de Nefrología The impact of body mass index (BMI) and body weight on hospitalization rates in haemodialysis patients is unknown. This study hypothesizes that being either underweight or obese is associated with a higher hospitalization rate. Observational study of 6296 European haemodialysis patients with prospective data collection and follow-up every six months for three years (COSMOS study). The risk of being hospitalized was estimated by a time-dependent Cox regression model and the annual risk (incidence rate ratios, IRR) by Poisson regression. We considered weight loss, weight gain and stable weight. Weight change analyses were also performed after patient stratification according to their baseline BMI. A total of 3096 patients were hospitalized at least once with 9731 hospitalizations in total. The hospitalization incidence (fully adjusted IRR 1.28, 95% CI [1.18–1.39]) was higher among underweight patients (BMI
Original languageEnglish
Pages (from-to)520-527
Number of pages8
JournalNefrologia
Volume38
Issue number5
DOIs
Publication statusPublished - 1 Sep 2018

Keywords

  • Body mass index
  • Chronic kidney disease
  • Hospitalization risk
  • Nutritional markers
  • Weight changes

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