PD399 - DISCREPANCIES IN MALNUTRITION RISK IDENTIFICATION: PARTICIPANT- VS RESEARCHER-COMPLETED RENAL INUT SCREENING TOOL

PD399

DISCREPANCIES IN MALNUTRITION RISK IDENTIFICATION: PARTICIPANT- VS RESEARCHER-COMPLETED RENAL INUT SCREENING TOOL

Z. Ebrahim^1,*, J. Visser¹, V. Khumalo¹, C. Lombard², N. Esau³

¹Division of Human Nutrition, ²Division of Epidemiology and Biostatistics , Stellenbosch University, ³Division of Human Nutrition, Tygerberg Hospital, Cape Town, South Africa

Rationale: Chronic Kidney Disease (CKD) is associated with many complications, including an increased risk of malnutrition. Nutritional screening is vital to assess the risk of malnutrition. The study aimed to compare an adapted participant self-completed renal iNUT tool to a researcher completed renal iNut tool. 

Methods: A cross-sectional, descriptive study with an analytical component was conducted at Tygerberg Hospital, which is a public hospital in South Africa. Data was collected from participants who were ≥18 years, presented with CKD stages 3b-5 (pre-dialysis, haemodialysis, peritoneal dialysis and kidney transplant).  A data collection form was used to record the participant information. An adapted renal iNut tool was developed and given to participants to self-complete, while the researchers completed the standard renal iNut tool. Stata version 18.5 was used to analyze the data. 

Results: One hundred participants (61% female and 39% male) were included, 26 pre-dialysis, 50 dialysis (34 hemodialysis and 16 peritoneal dialysis) and 24 transplant participants. Most participant’s educational level were below a high school certificate (45%). Only 70% of participants self completed the tool. An overall agreement of 36% was achieved between the researchers and participant scores. There was a difference between the researcher- and participant-completed tools (p = 0.477), with the researcher identifying 27% of participants as high risk for malnutrition compared to 41% identified by the participant-completed tool. The highest risk of malnutrition were amongst the pre-dialysis group (50%).

Conclusion: In a resource limited setting, self-completion of the renal iNUT by participants with CKD is not a viable malnutrition screening alternative, regular nutritional screening by a health care professional is therefore vital to detect the risk of malnutrition in CKD.

Disclosure of Interest: None declared