The MIA (Malnutrition, Inflammation, Atherosclerosis) Syndrome and Mortality in a Dialysis Patient

Purpose: To evaluate a patient who is being dialyzed for chronic renal failure for elements of the MIA syndrome to predict mortality as reported by de Mustert et al.

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Evaluation

Are you evaluating a patient who is undergoing dialysis for chronic renal failure?

Yes

Does the patient show evidence of moderate to marked malnutrition?

Yes

Does the patient show evidence of moderate to marked atherosclerotic vascular disease?

Yes

C reactive protein

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Elements of the MIA syndrome present

The predicted annual mortality rate is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Severity, Prognosis, Stage
Complications
- Comorbid Conditions Making Chronic Dialysis Futile

Therapy

Failure Handling And Therapy Escalation
- Comorbid Conditions Making Chronic Dialysis Futile

Monitoring

Response To Therapy
- Comorbid Conditions Making Chronic Dialysis Futile
Comorbid Conditions
- Comorbid Conditions Making Chronic Dialysis Futile
- Renal Replacement Therapy Risk Groups Based on Comorbid Factors

Patient Concerns

Quality Of Life
- Comorbid Conditions Making Chronic Dialysis Futile
End-of-life, Palliative Care
- Comorbid Conditions Making Chronic Dialysis Futile

Specialty

Nephrology
Clinical Laboratory

Objective

risk factors
severity
prognosis
stage

ICD-10

E40-E46 - Malnutrition
I70 - Atherosclerosis

Info

Purpose: To evaluate a patient who is being dialyzed for chronic renal failure for elements of the MIA syndrome to predict mortality as reported by de Mustert et al.

Specialty: Nephrology, Clinical Laboratory

Objective: risk factors, severity, prognosis, stage

ICD-10: E40-E46, I70,

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