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논문분류	춘계학술대회 초록집
제목	Onodera’s Prognostic Nutritional Index may be a Significant Nutritional Factor in Renal Transplantation Patients ccording to the Presence or Absence of Chronic Kidney Disease
저자	Ho Sik Shin1, Chul Soo Kim1, Gyoung-Hoon Kang1, Ye Na Kim1,Yeon Soon Jung1, Hark Rim1, Hyun Yul Rhew2
출판정보	2014; 2014(1):
키워드	오노데라영양인자, 신이식, 영양지표
초록	Background: Evaluation of nutritional status is essential clinical procedures for managing renal transplantation patients, especially in status of chronic kidney disease (CKD). However, no standard method for assessing the nutritional status in renal transplantation patients exists. Onodera’s Prognostic Nutritional Index (OPNI) is a method that considers serum albumin level and total lymphocyte count. This simple method may involve common measures and can be applied rapidly in a large number of patients. Validation of OPNI has been performed for patients with end-stage liver disease, active tuberculosis, and gastrointestinal malignancies. Methods: We examined the OPNI scores of 184 renal transplantation patients (50.2±11.3 years; 115 men and 69 women). The OPNI is calculated based on the serum albumin level and total lymphocyte count and uses the following equation: OPNI=10×serum albumin (g/dL)+0.005×total lymphocyte count (/mL). Logistic regression analysis was performed for predicting malnutrition in renal transplantation patients. Results: The average OPNI value was 48.9±7.1, and OPNI values were normally distributed. According to logistic regression for predicting malnutrition, male, total lymphocyte count and chronic kidney disease predicted malnutrition Conclusions: These results suggest that OPNI may be a significant nutritional marker in renal transplantation patients. The simple OPNI method is a clinically useful marker for the assessment of nutritional status in renal transplantation patients.
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