PD037 - DISTRIBUTION OF ENTERAL AND PARENTERAL NUTRITION-RELATED COMPLICATIONS ACCORDING TO RENAL FUNCTION IN CLINICAL PRACTICE:REAL-WORLD DATA

PD037

DISTRIBUTION OF ENTERAL AND PARENTERAL NUTRITION-RELATED COMPLICATIONS ACCORDING TO RENAL FUNCTION IN CLINICAL PRACTICE:REAL-WORLD DATA

I. KURAN^1,*, C. KAYABAŞI¹, Y. N. DOĞANCI², S. ATADz, F. TAMER², N. ERTEN², P. ONAR², B. KELLECİ ÇAKIR³, M. EŞME¹, S. K. DEMİRKAN³, M. G. HALİL¹

¹İç Hastalıkları Anabilim Dalı, Geriatri Bilim Dalı, ²Klinik Beslenme Anabilim Dalı, Hacettepe Üniversitesi Tıp Fakültesi, ³Klinik Eczacılık Anabilim Dalı, Hacettepe Üniversitesi Eczacılık Fakültesi, Ankara, Türkiye

Rationale: This study aimed to evaluate nutritional complications in hospitalized patients and their distribution according to glomerular filtration rate (GFR).

Methods: A total of 425 patients were included in 2025 after excluding those receiving renal replacement therapy [GFR≥60 mL/min/1.73m² (n=336), 30–50(n=63), <30(n=26)].The distribution of complications according to the type of nutrition and GFR groups was examined(Figure1).The chi-square test was used in the study;p<0.05 was considered statistically significant.

Results: 30.6% of patients received enteral(n=130), 65.4% parenteral(n=278),and 4% combined enteral and parenteral (n=17) nutrition.In enteral nutrition,the most common complications were metabolic: refeeding(38.5%) and hypomagnesemia(16.1%); gastrointestinal: diarrhea(10%) and vomiting(6.1%); mechanical: access route(16.1%); infectious: ostomy infection(3.9%), with no difference between groups(p>0.05). In combined enteral and parenteral nutrition,the most common complications were metabolic:refeeding(47.1%), hypomagnesemia(17.7%), hypokalemia(11.8%); gastrointestinal: vomiting(17.7%) and diarrhea(17.7%); mechanical: enteral/parenteral access route(17.7%); infectious: ostomy infection(11.8%) and catheter-related bloodstream infection(CRBSI-11.8%), with no difference between groups(p>0.05).In parenteral nutrition,the most common complications were metabolic: refeeding (37%) and hypomagnesemia(11.2%), and the frequency of hypomagnesemia differed according to GFR (respectively 9.1%, 23.3%, 6.7%; p=0.035).Mechanically, catheter-related phlebitis(6.5%),and infectiously,CRBSI(3.2%) were most common,with similar distribution between groups(p>0.05).

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Conclusion: Complications were similar across the groups,with the only difference being in parenteral hypomagnesemia performance.The findings suggest that complications can be managed independently of renal function.

Disclosure of Interest: None declared