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Highlights of this issue in KRCP (2026.06)

  • 2026-06-16
  • 조회 320
 
As part of the RECOVERY study involving 150 pre-dialysis CKD patients, research identified that gait speed is a vital indicator of functional status and reflects the integration of motor and cognitive functions.
The study highlights that gait speed correlates with muscle function (handgrip strength) rather than muscle mass (skeletal muscle mass index), suggesting that functional quality is a more critical indicator than muscle quantity alone.
Socioeconomic factors, including lower education levels and medical aid status, as well as clinical factors like lower hemoglobin levels, are also identified as significant determinants of slower gait speeds.
Based on a nationwide analysis of 157,794 emergency department (ED) visits by ESKD patients, Medical Aid (MA) recipients showed an 11% lower risk of hospitalization compared to National Health Insurance (NHI) beneficiaries after adjusting for clinical factors.
While the overall in-hospital mortality rate did not differ significantly between the two insurance groups, MA recipients under the age of 60, an economically active group ,demonstrated a significantly higher risk of in-hospital death.
The study suggests that younger MA patients may be more reluctant to be hospitalized due to economic burdens, potentially leading to delayed medical intervention and more severe illness at the time of eventual admission.
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