74 Body condition of donor animal and recipients affects the outcome of embryo transfer program in dromedary camel (Camelus dromedarius)

2021 ◽  
Vol 33 (2) ◽  
pp. 144
Author(s):  
B. S. Vettical ◽  
N. A. Wani
Keyword(s):  
Embryo Transfer ◽  
Body Condition ◽  
Intramuscular Injection ◽  
The Body ◽  
Positive Energy ◽  
Transfer Program ◽  
Significant Difference ◽  
Embryo Transfer Program ◽  
Group 3 ◽  
Group 1

The present study was conducted in dromedary camels to evaluate the effect of the body condition of donor animals on the outcome of superstimulation and embryo collection in experiment 1 and the establishment of pregnancies in the recipients in experiment 2. The animals were physically evaluated for their body condition and scored on a scale of 0 to 5 (0 being very thin and weak, while 5 being very fat). They were divided into three groups based on their body condition score (BCS). Animals with a score of 1–2, >2–3, and >3–4 were divided into groups 1, 2, and 3, respectively. Animals with a score of <1 and >4 were considered either too weak or too fat and were not included in the study. In Experiment 1, 32 donors in 3 groups were superstimulated with a combination of 2500IU of equine chorionic gonadotrophin (eCG, Folligon; Intervet), given as a single intramuscular injection on Day 1 of the treatment protocol, and 400mg of pFSH (Folltropin; Bioniche) injected twice daily in declining doses of 2×80mg, 2×60mg, 2×40mg, and 2×20mg over 4 days, also beginning on Day 1. The ovaries of all the donor camels were scanned on Day 4 after the start of treatment, and thereafter at intervals of one or two days until the majority of follicles had grown to between 1.3 and 1.8cm in diameter before mating with a fertile male. Each donor received an intramuscular injection of 20µg of gonadotrophin-releasing hormone (Receptal, Intervet) immediately after mating, and embryos were collected by non-surgical method on Day 7 after ovulation. In Experiment 2, 141 recipients divided in 3 groups, as described above, were synchronized with donors and received an embryo each in their left uterine horn. The pregnancy confirmation was done by an ultrasound examination on Day 50 after transfer. Data were analysed by ANOVA with Fisher protected least significant difference test (Minitab statistical software, Minitab Ltd.). In experiment 1, the mean±s.e.m. number of follicles (13.9±1.3; 12.7±2.9; 15.0±1.7), and the percent mean±s.e.m. of embryos collected (41.5±7.7; 57.0±12.3; 60.4±7.8) were not different among groups 1, 2 and 3, respectively. However, the percent mean±s.e.m. of transferrable embryos obtained were higher (P<0.05) in group 3 (77.7±4.8) compared with group 1 (57.5±10.1). Similarly, in experiment 2, the percent mean±s.e.m. of pregnancies achieved in group 3 (68.9±6.4) was similar to that of group 2 (57.9±14) but higher (P<0.05) than that of group 1 (50.5±10.0). In conclusion, to the best of our knowledge, this is the first study showing a direct correlation between the BCS and outcome of embryo transfer program in camels. Donors with a good BCS produced more transferrable embryos, and conception rates were higher in recipients having a better BCS. This clearly shows that not only is the selection of recipients critical in the embryo transfer program, but donors with a positive energy balance yield better transferrable embryos. Priming of donors before the start of the breeding season could help to improve the outcome of this technology in camels.

scholarly journals 165 SYNCHRONIZATION TREATMENT WITH NEW AND REUSED CIDR-B DEVICES: ESTRUS AND PREGNANCY RATES IN AN EMBRYO TRANSFER PROGRAM

2005 ◽  
Vol 17 (2) ◽  
pp. 233
Author(s):  
C.W. Solorzano ◽  
J.H. Mendoza ◽  
A. Villa-Godoy ◽  
C.S. Galina ◽  
S. Romo
Keyword(s):  
Embryo Transfer ◽  
Estradiol Benzoate ◽  
Pregnancy Rates ◽  
Estrus Synchronization ◽  
Transfer Program ◽  
Embryo Transfer Program ◽  
Group 3 ◽  
Group 2 ◽  
Rectal Palpation ◽  
Group 1

An earlier study demonstrated that in CIDRs used in adult cows on two previous occasions, there was still a sufficient amount of progesterone (P4) remaining that allowed estrus synchronization in heifers (Solorzano et al. 2004 Reprod. Fert. Dev. 16, 214). However, the diverse conditions existing in that study made a statistical comparison impossible. The objective of this study was to study the effect of new and used CIDRs, combined with estradiol benzoate (EB) and prostaglandin F2-α (PGF) treatments, on estrus synchronization rates (ESR) and pregnancy rates (PR) in an embryo transfer program in Brangus cows in a tropical climate. We used the same set of CIDRs in the same location in cows of the same breed, age, and body condition during three consecutive weeks. Cows were randomly allocated to one of three treatment groups. In Group 1, all cows (n = 44) were treated with a new 1.9-g CIDR (CIDR-B, InterAg, Hamilton, New Zealand), combined with 2 mg EB on Day 0. In Group 2, all cows (n = 43) were treated with a reused (first reuse) 1.9-g CIDR and 2 mg EB on Day 0. In Group 3, all cows (n = 42) received a reused (second reuse) 1.9-g CIDR and 2 mg EB on Day 0. CIDR devices were removed on Day 7 and all cows received PGF (0.25 μg cloprostenol) at that time. Estrus was expected to occur 24 h later. Seven days after estrus all cows showing heat were examined by rectal palpation, and those with a CL 15 mm in diameter or larger were selected to receive a frozen/thawed embryo (in 1.5 M ethylene glycol) by nonsurgical direct transfer. PR were determined by rectal palpation 60 days after estrus. In Group 1, a total of 90.9% of the cows displayed signs of estrus (40/44), and 42% of those that received a frozen embryo were pregnant (16/38). In Group 2, a total of 88.4% of the treated cows showed signs of estrus (38/43), and 37% of those recipients became pregnant (13/35). In Group 3, 88% of treated cows showed signs of estrus (37/42), and 36% of cows receiving an embryo were pregnant (13/36). ESR and PR were compared by χ2 and Fisher's tests, and no differences were found among the three groups studied. This confirms that, in 1.9-g CIDRs used on two previous and consecutive occasions, there is still a sufficient amount of P4 remaining that allows successful estrus synchronization and pregnancy rates in a third use.

Abstract WP380: Thyrotoxicosis is Associated With Worse In-Hospital Mortality in Patients With Ischemic Stroke

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Sakiru O Isa ◽  
Olajide Buhari ◽  
Hameem Changezi
Keyword(s):  
Ischemic Stroke ◽  
Hospital Mortality ◽  
Length Of Hospital Stay ◽  
The Body ◽  
Significant Difference ◽  
History Of ◽  
Group 3 ◽  
Group 2 ◽  
Time Of Presentation ◽  
Group 1

Introduction: Hyperthyroidism increases the basal metabolic rate and affects most systems in the body. Patients with hyperthyroidism have been shown to have a higher incidence of ischemic stroke. There is a paucity of information regarding its effects on the short-term outcomes of patients admitted with ischemic stroke. Hypothesis: Hyperthyroidism is associated with worse in-hospital outcomes in patients admitted for ischemic stroke. Methods: We queried the National Inpatient Sample to identify adult patients(aged 18 and above) admitted for ischemic stroke between January 2011 and December 2014. We compared those with a history of hyperthyroidism (group 1) and thyrotoxicosis on admission (group 2) with the rest of the patients (group 3). The main outcome was in-hospital mortality. Secondary outcomes included the length of hospital stay and cost of hospitalization. We used the logistic regression model and adjusted for baseline characteristics and co-morbidities. Results: There were 643,786 patients in the study, 0.44% had a history of hyperthyroidism, and 0.01% had thyrotoxicosis at the time of presentation. The odd of mortality in group 1 compared to group 3 was 0.89, 95% CI 0.75-1.05, p=0.16 while in group 2 compared to group 3, it was 2.42, 95% CI 1.29-4.52, p<0.006. The mean length of stay was also longer in group 2 with a mean difference of 8.06, 95% CI 4.74 - 11.39, p<0.0001. Conclusion: From the study, there was no significant difference in in-hospital mortality between patients with previously diagnosed hyperthyroidism and those without diagnosed hyperthyroidism. Patients who had thyrotoxicosis on admission, on the other hand, had worse outcomes compared to patients without thyrotoxicosis.

151 EFFECT OF RECIPIENT CATEGORY ON PREGNANCY RATES ON A BOVINE EMBRYO TRANSFER PROGRAM IN PATAGONIA, ARGENTINA

2008 ◽  
Vol 20 (1) ◽  
pp. 155
Author(s):  
J. Villarreal ◽  
A. Garcia Guerra ◽  
G. M. Brogliatti
Keyword(s):  
Embryo Transfer ◽  
Pregnancy Rates ◽  
Point Of View ◽  
Bovine Embryo ◽  
Transfer Program ◽  
Chi Square ◽  
Lactating Cows ◽  
Significant Difference ◽  
Embryo Transfer Program ◽  
Condition Score

The fertility of the recipient is one of the more important factors conditioning the success of an embryo transfer (ET) program. Selection and management of recipients is a very important contributing factor to achieve high pregnancy rates (Stroud and Hasler 2006 Theriogenology 65, 65–76). From a reproductive point of view, a good recipient is a cow capable of receiving an embryo and taking it to term (Palma et al. 2001 Biotecnologia de la reproduccion, INTA). In beef and dairy cattle, recipients are categorized according to number of births, age, and condition score (Stroud and Hasler 2006). A retrospective analysis was done to confirm a relationship between recipient category, based on their physiologic and reproductive stage, and pregnancy rates. The analysis was done during January and February (2006–2007) based on data recovered from an embryo transfer program done in Chubut province (Patagonia) for the project ‘Polo Genetico Angus’ (Angus Association – Chubut government agreement). Two hundred and seven morulas and/or blastocysts, quality 1 or 2 frozen in 1.5 m ethylene glycol (IETS manual), were transferred randomly in 10 different farms. Embryos were thawed for 10 s at room temperature and 30 s in a water bath at 35°C and transferred by one single technician. Angus, Hereford, or its breeds were used as recipients. A reproductive exam was performed before embryo transfer and, based on it, recipients were classified into 4 categories: heifer (3–4 years old), lactating cow, weaned cow, and dry old cow (Table 1). The synchronization protocol used for recipients consisted of a single administration of D-cloprostenol and heat detection twice a day for 5 days. Data were analyzed by Cochran-Mantel-Haenszel test (chi-square). Results are shown in Table 1. There is a significant difference (P ≤ 0.05) in pregnancy rates among categories. Recipients with higher pregnancy rates were lactating cows and weaned cows 61.6% and 56.9%, respectively, compared to heifers, 45.3%; a lower pregnancy rate was founded in the dry old cows group. Dry cows were animals that failed to get pregnant during the last season. Heifers also were animals that failed the artificial insemination program. In both groups, the reduced fertility may explain their lower pregnancy rates. In conclusion, selection toward fertility of recipients is a very important factor to take into account to design a successful embryo transfer program. Table 1. Pregnancy rates for recipient categories in an ET program in Chubut (Patagonia), Argentina This research was supported by Centro Genetico Bovino Eolia.

scholarly journals Gestational losses after innovating with two embryos in a fixed-time embryo transfer program

2021 ◽  
Vol 14 (10) ◽  
Author(s):  
Carla Neves Barbosa ◽  
Felipe De Col ◽  
Juan Carlos Domínguez Fernández de Tejerina ◽  
Rodolfo Cassimiro de Araujo Berber
Keyword(s):  
Embryo Transfer ◽  
Birth Rate ◽  
Considerable Increase ◽  
Hormonal Treatment ◽  
Fixed Time ◽  
Estradiol Benzoate ◽  
Corpora Lutea ◽  
Transfer Program ◽  
Embryo Transfer Program ◽  
Group 1

The aim of this study was to quantify the pregnancy rate after implantation of two embryos after FTET protocols, as well as to monitor pregnancy losses until parturition, evaluating, mainly, if this strategy results in more number of animals born. Therefore, 423 multiparous recipients were selected, standardized in terms of body score, who had high-quality corpora lutea. Animals were randomly divided into two groups according to one or two embryos transferred (1 embryo = Control, n = 237; 2 embryos = Group 1, n = 186). All recipients received the same hormonal treatment, which consisted of administering, on Day 0, 2 mL of estradiol benzoate (Gonadiol, ZOETIS) + 1.9 g multidose 1st use progesterone implant (CIDR, ZOETIS); on Day 8 the implants were removed + injected 0.4 mL of estradiol cypionate (E.C.P, ZOETIS) + 1.5 mL of eCG (Novormon, ZOETIS) + 1 mL of dinoprost tromethamine (Lutalyse, ZOETIS). The animals were evaluated by ultrasonography at 30 and 60 days after embryo transfer, to diagnose the success rate and embryo losses during this period. Furthermore, information was collected on births, length of gestation, number of twin births, number of childbirth assistance and the weight of the calves. The results showed that Group 1 had better success than the Control, with higher conception rates at 30 days (68.3% vs. 53.2%, P<0.001) and at 60 days (62.9% vs. 52.3%; P<0 .05). The number of animals born was also higher for Group 1 (53.3% vs. 43.3%, P<0.01). The percentage of twins born in Group 1 was 17.9%, and the animals had lower weight compared to the Control (34.29 + 7.36 vs 37.63 + 5.73, P<0.05). The length of pregnancy and the number of assistances were similar between groups. In conclusion, the strategy adopted in this experiment suggests a considerable increase in the calf birth rate, but losses during pregnancy and their mechanisms need to be elucidated.

scholarly journals Renal bone disease in patients on hemodialysis: an observational study focusing on the variation of calcium metabolism

2019 ◽  
Vol 7 (7) ◽  
pp. 2660
Author(s):  
Wajeeha Elahi ◽  
Ameen Zubair Syed ◽  
Bilal Jamil ◽  
Shahid Kamran ◽  
Raheela Adil ◽  
...  
Keyword(s):  
Demographic Data ◽  
The Body ◽  
Cross Sectional ◽  
Related Data ◽  
Significant Difference ◽  
Renal Bone Disease ◽  
Group 3 ◽  
Group 2 ◽  
Pth Level ◽  
Group 1

Background: The aim of this study was to determine the disturbances in the levels of mineral in the body due to hemodialysis at different levels of parathormone levels and to assess its association with the calcium levels.Methods: Study was a cross sectional for the period of 6 months taking ethical approval. Total 255 cases were registered in this study after taking their informed consent. The cases were divided into three groups according to PTH level. Group 1 has 87 subjects with PTH level <250, group 2 has 102 subjects with PTH level 250-650 and group 3 has 66 cases with PTH level >650. The cases were taking hemodialysis for greater than 6 months and have the ages more than 18 years were included in this study. The demographic data includes age, sex dialysis related data like duration of hemodialysis, levels of calcium, phosphorus, albumin, PTH, ALP were observed.Results: Hemodialysis duration were recorded in respective three groups as 7.28±5.71, 6.26±5.56 and 6.15±4.30 days respectively  (P=0.319). Calcium was found in group 1, 8.70±0.81, in group 2, 8.39±0.89 and in group 3, 8.76±0.82 (P=0.01). PTH level in three respective group were recorded to be 123.46±74.15, 418.47±115.49 and 1314.67±1188.63 (P <0.001).Conclusions: Present study showed that significant difference was found in mineral levels in patients on hemodialysis with PTH level as well as with alkaline phosphatase level. Nevertheless, no significant difference was found with duration of dialysis and with parameter of albumin.

In-vivo evaluation of the effect of cyanoacrylate on prosthetic vascular graft infection – does cyanoacrylate increase the severity of infection?

VASA ◽  
2020 ◽  
Vol 49 (4) ◽  
pp. 281-284
Author(s):  
Atıf Yolgosteren ◽  
Gencehan Kumtepe ◽  
Melda Payaslioglu ◽  
Cuneyt Ozakin
Keyword(s):  
Vascular Graft ◽  
Graft Infection ◽  
Vascular Graft Infection ◽  
Group 4 ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Prosthetic Vascular Graft Infection ◽  
Group 1

Summary. Background: Prosthetic vascular graft infection (PVGI) is a complication with high mortality. Cyanoacrylate (CA) is an adhesive which has been used in a number of surgical procedures. In this in-vivo study, we aimed to evaluate the relationship between PVGI and CA. Materials and methods: Thirty-two rats were equally divided into four groups. Pouch was formed on back of rats until deep fascia. In group 1, vascular graft with polyethyleneterephthalate (PET) was placed into pouch. In group 2, MRSA strain with a density of 1 ml 0.5 MacFarland was injected into pouch. In group 3, 1 cm 2 vascular graft with PET piece was placed into pouch and MRSA strain with a density of 1 ml 0.5 MacFarland was injected. In group 4, 1 cm 2 vascular graft with PET piece impregnated with N-butyl cyanoacrylate-based adhesive was placed and MRSA strain with a density of 1 ml 0.5 MacFarland was injected. All rats were scarified in 96th hour, culture samples were taken where intervention was performed and were evaluated microbiologically. Bacteria reproducing in each group were numerically evaluated based on colony-forming unit (CFU/ml) and compared by taking their average. Results: MRSA reproduction of 0 CFU/ml in group 1, of 1410 CFU/ml in group 2, of 180 200 CFU/ml in group 3 and of 625 300 CFU/ml in group 4 was present. A statistically significant difference was present between group 1 and group 4 (p < 0.01), between group 2 and group 4 (p < 0.01), between group 3 and group 4 (p < 0.05). In terms of reproduction, no statistically significant difference was found in group 1, group 2, group 3 in themselves. Conclusions: We observed that the rate of infection increased in the cyanoacyrylate group where cyanoacrylate was used. We think that surgeon should be more careful in using CA in vascular surgery.

scholarly journals Isometric Handgrip Exercise Training Improves Spirometric Parameters and Pulmonary Capacity

2021 ◽  
Vol 28 (3) ◽  
pp. 328-338
Author(s):  
Ogbutor Udoji Godsday ◽  
Nwangwa Eze Kingsley ◽  
Nwogueze Bartholomew Chukwuebuka ◽  
Chukwuemeka Ephraim ◽  
Ezunu Emmanuel ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Isometric Exercise ◽  
Handgrip Exercise ◽  
Isometric Handgrip ◽  
Post Exercise ◽  
Significant Difference ◽  
Isometric Handgrip Exercise ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Decline in normal physiological pulmonary function has been attributed to premorbid conditions such as prehypertension. Research evidence suggests that physical activity reduces age-related decline in pulmonary function and improves the efficiency of the lungs in prehypertensive patients. However, there is a scarcity of data evidence relating to isometric exercise and pulmonary function. Furthermore, the interrelationship between the intensity and duration of isometric exercise and pulmonary function in these patients is still uncertain. Therefore, this study was undertaken to investigate the effect of isometric handgrip exercise on pulmonary function capacity in adults with prehypertension. To determine the effectiveness of isometric handgrip exercise on pulmonary function capacity in adults with prehypertension. A quasi experiment using a pre- and post-exercise method was carried out in two out-patients hospital settings. The sample comprised 192 sedentary pre-hypertensive subjects, aged between 30–50 years, that were randomly distributed into three groups of 64 participants each. The subjects performed, for 24 consecutive days, an isometric handgrip exercise at 30% Maximum Voluntary Contraction (M.V.C.). At the end of the 24 days, group one (GP1) discontinued, while group two (GP2) continued the exercise protocol for another 24 consecutive days and group three (GP3) continued with the exercise protocol for another 24 consecutive days but at 50% M.V.C. Determinants of lung function (outcomes) were Forced Expiratory Volume in 1 s (FEV1), Forced Vital Capacity (FVC), FEV1/FVC Ratio and Peak Expiratory Flow Rate (PEFR). The study shows that there was no statistically significant difference in the pre- and post-exercise outcomes for FEV1, FVC, FEV1/FVC Ratio and PEFR after 24 days for group 1. In group 2, there was a statistically significant difference in the FVC [(mean = 0.12 ± 0.12), (p = 0.002)], FEV1 [(mean = 0.15 ± 0.17), (p = 0.003)] and PEF [(mean = 0.85 ± 0.35), (p = 0.001)] after 48 days. In group 3, there was a statistically significant difference (p = 0.001) in all the outcomes assessed after 48 days. There was a between groups difference in favour of group 2 compared with group 1 for outcomes of FEV1 [(mean = 0.142 ± 0.68), (p = 0.005)] and PEF [(mean = 0.83 ± 0.19), (p = 0.0031)]. There was statistically significant difference in favour of group 3 compared to group 2, by increasing the exercise intensity from 30% to 50% M.V.C., for outcomes of FVC [mean change = 0.10 ± 0.052), (p = 0.005)], FEV1/FVC [mean change = 3.18 ± 0.75), (p = 0.017)] and PEF [(mean change = 0.86 ± 0.35), (p = 0.001)] after 48 days. Isometric handgrip exercise (after 48 days at 30% to 50% M.V.C.) improves outcomes of pulmonary function capacity in adults with prehypertension. Meanwhile, duration and/or increase in intensity of the isometric effort significantly contributed to the affects attained.

scholarly journals Effects of posterior tibial slope on the mid-term results of medial unicompartmental knee arthroplasty

Arthroplasty ◽  
2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Zhijie Chen ◽  
Kaizhe Chen ◽  
Yufei Yan ◽  
Jianmin Feng ◽  
Yi Wang ◽  
...  
Keyword(s):  
Knee Flexion ◽  
Tibial Slope ◽  
Posterior Tibial ◽  
Significant Difference ◽  
Medial Unicompartmental Knee Arthroplasty ◽  
Group 3 ◽  
Group 2 ◽  
Postoperative Knee ◽  
Group 1

Abstract Objective To evaluate the effect of medial posterior tibial slope (PTS) on mid-term postoperative range of motion (ROM) and functional improvement of the knee after medial unicompartmental knee arthroplasty (UKA). Methods Medical records of 113 patients who had undergone 124 medial UKAs between April 2009 through April 2014 were reviewed retrospectively. The mean follow-up lasted 7.6 years (range, 6.2–11.2 years). Collected were demographic data, including gender, age, height, weight of the patients. Anteroposterior (AP) and lateral knee radiographs of the operated knees were available in all patients. The knee function was evaluated during office follow-up or hospital stay. Meanwhile, postoperative PTS, ROM, maximal knee flexion and Hospital for Special Surgery (HSS) knee score (pre−/postoperative) of the operated side were measured and assessed. According to the size of the PTS, patients were divided into 3 groups: group 1 (<4°), group 2 (4° ~ 7°) and group 3 (>7°). The association between PTS and the knee function was investigated. Results In our cohort, the average PTS was 2.7° ± 0.6° in group 1, 5.6° ± 0.9° in group 2 and 8.7° ± 1.2° in group 3. Pairwise comparisons showed significant differences among them (p < 0.01). The average maximal flexion range of postoperative knees in each group was 112.4° ± 5.6°, 116.4° ± 7.2°, and 117.5° ± 6.1°, respectively, with significant difference found between group 1 and group 2 (p < 0.05), and between group 1 and group 3 (p < 0.05). However, the gender, age, and body mass index (BMI) did not differ between three groups and there was no significant difference between groups in terms of pre−/postoperative HSS scores or postoperative knee ROM. Conclusion A mid-term follow-up showed that an appropriate PTS (4° ~ 7°) can help improve the postoperative flexion of knee. On the other hand, too small a PTS could lead to limited postoperative knee flexion. Therefore, the PTS less than 4° should be avoided during medial UKA.

The Relationship between Serum Ferritin Levels and 5-Year All-Cause Mortality in Hemodialysis Patients

2021 ◽  
pp. 1-7
Author(s):  
Emre Erdem ◽  
Ahmet Karatas ◽  
Tevfik Ecder
Keyword(s):  
Serum Ferritin ◽  
Hemodialysis Patients ◽  
Rank Test ◽  
Significant Difference ◽  
All Cause Mortality ◽  
Group 3 ◽  
Group 2 ◽  
The Relationship ◽  
Group 1

<b><i>Introduction:</i></b> The effect of high serum ferritin levels on long-term mortality in hemodialysis patients is unknown. The relationship between serum ferritin levels and 5-year all-cause mortality in hemodialysis patients was investigated in this study. <b><i>Methods:</i></b> A total of 173 prevalent hemodialysis patients were included in this study. The patients were followed for up to 5 years and divided into 3 groups according to time-averaged serum ferritin levels (group 1: serum ferritin &#x3c;800 ng/mL, group 2: serum ferritin 800–1,500 ng/mL, and group 3: serum ferritin &#x3e;1,500 ng/mL). Along with the serum ferritin levels, other clinical and laboratory variables that may affect mortality were also included in the Cox proportional-hazards regression analysis. <b><i>Results:</i></b> Eighty-one (47%) patients died during the 5-year follow-up period. The median follow-up time was 38 (17.5–60) months. The 5-year survival rates of groups 1, 2, and 3 were 44, 64, and 27%, respectively. In group 3, the survival was lower than in groups 1 and 2 (log-rank test, <i>p</i> = 0.002). In group 1, the mortality was significantly lower than in group 3 (HR [95% CI]: 0.16 [0.05–0.49]; <i>p</i> = 0.001). In group 2, the mortality was also lower than in group 3 (HR [95% CI]: 0.32 [0.12–0.88]; <i>p</i> = 0.026). No significant difference in mortality between groups 1 and 2 was found (HR [95% CI]: 0.49 [0.23–1.04]; <i>p</i> = 0.063). <b><i>Conclusion:</i></b> Time-averaged serum ferritin levels &#x3e;1,500 ng/mL in hemodialysis patients are associated with an increased 5-year all-cause mortality risk.

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