Evaluation of the nutritional state of hemodialysis patients in Tabriz

Abstract

Introduction: Dialysis is now established as a successful therapy for the management of patients with end-stage renal disease (ESRD). On the other hand, to further improve patient outcomes, optimizing dialysis efficacy, controlling blood pressure, treating anemia, and keeping biochemical parameters in target range are of important clinical benefits. Although protein-energy wasting (PEW) seems apparently to be of little importance, accumulating evidence indicates that PEW is an important predictor of morbidity and mortal-ity in patients on chronic hemodialysis. Therefore, having enough information about the nutritional status of these patients is essential for the survival assessment. Aim: The aim of this study was to determine the nutritional status of hemodialysis patients by determining the nutritional markers in the serum of patients, determination of anthropometric parameters and the intake of energy and protein in hemodialysis patients. Methods: patients' demographic, clinical and laboratory characteristics including age, sex, height, weight, the cause of ESRD, skin fold thickness, MAC, serum albumin, ferritin, TIBC, and total cholesterol will be recorded Also, with the help of the patient or companion patient, the type and amount of food consumed by the patient is recorded in three days of the week, and then the amount of energy and protein received by the patient is transmitted through the reference tables. Results: Assessing the nutritional status of hemodialysis patients in Sina Hospital based on ISRNM criteria showed that PEW was detected for about 37% of the patients studied. Conclusion: The results of the evaluation of the nutritional status of chronic hemodialysis patients showed that many of these patients are not ideally nutritional in terms of nutritional status.