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概要

Relationship of Serum Sclerostin Level, Coronary Artery Calcification, and Patient Outcomes in Maintaining the Dialysis of Patients

Shreya Suman

The goal of this examination is to research the relationship between the serum sclerostin, the coronary artery calcification (CAC), and patient results in upkeep dialysis patients. We played out a forthcoming associate investigation of 65 support dialysis patients in 2014, remembering 39 patients for peritoneal dialysis and 26 on hemodialysis, and followed up for a very long time. Boundaries of mineral digestion including bone-explicit soluble phosphatase, fibroblast development factor 23, sclerostin, and other biochemical variables were resolved at the gauge. In the mean time, the CAC score was broke down via heart processed tomography. Serum sclerostin in hemodialysis patients was altogether higher than that in peritoneal dialysis patients (632.35 ± 369.18 versus 228.85 ± 188.92, p < 0.001). The patients with CAC were more seasoned, getting hemodialysis, lower Kt/V, and had longer dialysis vintage, just as more elevated levels of serum 25-(OH)- vit D and sclerostin. In multivariate strategic relapse examination, more seasoned age and lower Kt/V were hazard factors for CAC. The region under the collector working trademark bends for forecast of CAC by sclerostin was 0.74 (95% certainty stretch 0.605–0.878, p = 0.03), and the cutoff worth of sclerostin is 217.55 pg/mL with the affectability 0.829 and explicitness 0.619. Following 5 years of follow-up, 51 patients endure. The patients in the endurance bunch had fundamentally lower age, sclerostin levels, and low CAC scores than the nonsurvival bunch. Advanced age (≥60 years, p < 0.001) and high CAC score (≥50 Agatston unit, p = 0.031) were huge danger factors for the patient endurance. Sclerostin is altogether raised in dialysis patients with CAC. Yet, sclerostin isn't a danger factor for CAC. Following 5 years of follow-up, patients in the endurance bunch are more youthful and have lower sclerostin levels and CAC scores. However, sclerostin levels are not autonomous danger factors for high mortality in dialysis patients.