P100 - ASSOCIATION BETWEEN NUTRITIONAL STATUS AND OUTCOME IN HEMODIALYSIS AND PERITONEAL DIALYSIS PATIENTS

P100

ASSOCIATION BETWEEN NUTRITIONAL STATUS AND OUTCOME IN HEMODIALYSIS AND PERITONEAL DIALYSIS PATIENTS

S. Małgorzewicz^1,*, S. Czaja-Stolc², P. Rutkowski², M. Kaczkan²

¹Clinical Nutrition, ²Medical University of Gdańsk, Gdańsk, Poland

 

Rationale: Dialysis patients represent a vulnerable population due to the complexity of their condition and the demanding nature of their treatment regimen. These patients often experience a range of nutritional challenges, which can significantly affect their overall health and survival outcomes.

Methods:  

146 hemodialysis (age  56.8 ± 14.8 yr.) and 96 peritoneal dialysis patients ( age 53.9 ± 15.1) were studied.

Nutritional status was examined comprehensively .Routine  laboratory parameters  and CRP  as marker of inflammation were   measured.The risk of death was assessed using the Cox proportional hazard model.

The aim of the  study examines the relationship between nutritional status, inflammation and the risk of death among  dialysis patients over an observation of 36 months.

Results: In the studied population  PEW was found in 34.0%. The nutritional status deteriorated with the duration of observation in hemodialysis patients, in patients on peritoneal dialysis the nutritional status improved in the first 12 months of observation, and after this period the nutritional status of these patients also deteriorated.

During the observation 24.1% of HD patients and 19.5% of PD patients died.

In both groups, low albumin, malnutrition were associated with increased risk of death (HR=0.8; p=0.00). Additionally, in PD group diabetes increased this risk (HR=1.5; p=0.05). Fat,LBM, BMI,  dialysis treatment time had no  significant association with patients' death.Regression analysis confirmed the association between incident death and age, s- albumin and SGA in both groups.

 

Conclusion: The results emphasize the importance of monitoring nutritional status  in predicting the risk of death among dialysis patients. Appropriate treatment of PEW  and diabetes among dialysis patients may help prevent premature deaths in this group of patients.

References: PMID: 26824292

 

Disclosure of Interest: None declared