P755 - ASSOCIATION OF MALNUTRITION IN LENGTH OF HOSPITAL STAY AND MORTALITY AMONG PATIENTS WITH END-STAGE RENAL DISEASE ADMITTED IN A TERTIARY GOVERNMENT HOSPITAL

P755

ASSOCIATION OF MALNUTRITION IN LENGTH OF HOSPITAL STAY AND MORTALITY AMONG PATIENTS WITH END-STAGE RENAL DISEASE ADMITTED IN A TERTIARY GOVERNMENT HOSPITAL

S. Depita^1,*, P. G. S. Calamba²

¹Internal Medicine, ²Medical Nutrition Department, Davao Regional Medical Center, Tagum, Philippines

Rationale: Despite the increasing number of malnourished patients, studies on malnutrition particularly among end-stage renal disease (ESRD) patients, remain limited. This study aimed to determine the association between malnutrition to length of hospital stay and mortality among ESRD patients admitted in a tertiary government hospital.

Methods: A total of 237 ESRD patients were included in this study. Nutritional status was evaluated using the modified subjective global assessment (mSGA) tool. Clinico-demographic profile and BMI were analyzed using mean, standard deviation, frequency, and percentage. Linear logistic regression and binary logistic regression were used to analyze the association of malnutrition to length of hospital stay and mortality, respectively. 

Results: Most patients were 49-70 years old with male predominance (59.9%). The average BMI was 23.3±3.99 kg/m² and hypertension was the most prevalent comorbidity. Majority use internal jugular catheters as the primary hemodialysis access. 82.7% of patients were classified as severely malnourished (SGA C), and none have normal nutritional status (SGA A). We are unable to evaluate the potential association between SGA A to length of hospital stay and mortality as none of our participants were SGA A. However, there is a significant association between SGA B and SGA C to prolonged hospital stays. Patients with SGA C have significantly longer mean hospital stays (16.69±11.33 days) compared to those with SGA B (6.63±2.92 days). Patients with SGA C also have a significant association with mortality with an odds ratio of 1.18. The potential association between SGA B to mortality was not identified since none of the participants with moderate malnutrition died.

Conclusion: There is a significant association between moderate-severe malnutrition to prolonged hospital stay and mortality.

Disclosure of Interest: None declared