Anemia, Cardiovascular Risk Factor, End-stage Renal Disease, Inflammation
Conditions
Keywords
iron, End-Stage Renal Disease, Anemia
Brief summary
This study will compare the clinical outcome of patients with maintenance dialysis room after changing the iron treatment guidelines from original upper limit with ferritin\>500ng/ml, or TSAT\>20% to Ferritin\> 800ng / ml, or TSAT\> 50%.
Detailed description
After two years of treatments, we will compare the incidence of clinical events, monthly blood, and biochemical examination data for the two years before and after the change.
Interventions
drug ingredient: Ferric Hydroxide in complex with sucrose drug dosage form: 270injection/100mg/5ml/Amp
Sponsors
Study design
Eligibility
Inclusion criteria
* patients receiving maintenance dialysis
Exclusion criteria
* less than 20 year-old, oncological patients undergoing chemotherapy, abnormal liver function, infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | 2 years | the death events following up until 2022 |
| coronary artery disease | 2 years | new onset coronary artery disease diagnosed with electrocardiogram (ST-segment changes, T inversion and Q wave appearance) |
| congestive heart failure | 2 years | new onset congestive heart failure diagnosed with sonocardiogram (HF-REF, heart failure with reduced EF≦ 35%) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| phospate | 2 years | serum phosphate level |
| nutrition status | 2 years | serum albumin level |
| liver function | 2 years | serum AST/ALT level |
| diabetes | 2 years | fasting blood sugar |
| potassium | 2 years | serum potassium level |
| parathyroid function | 2 years | serum parathyroid level |
| sodium | 2 years | serum sodium level |
| anemia | 2 years | 1. serum hemoglobin level 2. serum hematocrit |
| calcium | 2 years | serum total calcium level |
Countries
Taiwan