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Biomedical subjects

P Marckmann

Publications and source records attributed to P Marckmann.

77 records · Page 5Linked to original sources

Nutritional status and mortality of patients in regular dialysis therapy.

The relationship between mortality and nutritional status of 48 chronic dialysis patients (32 patients on haemodialysis (HD) and 16 on continuous ambulatory peritoneal dialysis (CAPD)) was studied over a 24-month period. Patients were scored individually according to relative body weight (RBW), S-transferrin, mid-arm muscle circumference (MAMC) and triceps skinfold thickness (TSF), and were given a total score from 0 (normal nutritional status) to 8 (severe protein-caloric malnutrition) at start of observation. The observation period was characterized by a significantly lower total nutritional score among surviving (n = 39) patients than among patients who died (n = 9) (Mann-Whitney, P less than 0.001). There was no difference in mortality between the two kinds of dialysis therapy (HD,CAPD). In conclusion, chronic dialysis patients with a poor nutritional status have a highly increased mortality. The presumably causal nature of this relationship makes prevention of protein-caloric malnutrition among dialysis patients a high priority task.

Adult↗

Imported pedal chancroid: case report.

A man aged 22 who had returned from the Fiji Islands to Denmark had chancroid on the left foot, but no history or sign of primary genital infection. The pedal location only is an unusual presentation of the disease, which was diagnosed only microbiologically. Chronic tropical ulcers therefore demand special microbiological attention.

Adult↗

Nutritional status of patients on hemodialysis and peritoneal dialysis.

In a cross-sectional study, the nutritional status of 32 patients on hemodialysis (HD) and 16 patients on peritoneal dialysis (CAPD) was determined. Protein-caloric malnourishment assessed from a score system based on triceps skin-fold, midarm muscle circumference, S-transferrin and relative body weight was recorded in 54% of the patients. No significant differences between the nutritional status of HD and CAPD patients were found. Malnutrition was more frequent among patients in early stage dialysis (i.e., dialysis for less than 12 months) than among other patients (p less than 0.02). Frequent assessment of the nutritional status is mandatory for optimal nourishment.

Adult↗