CHARACTERISTICS OF SOME NUTRITIONAL INDEX ACCORDING TO THE STANDARDS OF THE INTERNATIONAL SOCIETY OF RENAL NUTRITION AND METABOLISM IN PATIENTS WITH CHRONIC KIDNEY DISEASE STAGES 3–5 TREATED AT THAI BINH GENERAL HOSPITAL

Khanh Thu TRAN1,, Thi Thanh Phuong LE2, Thi Van Anh TRAN3
1 Thai Binh Department of Health, Thai Binh Province
2 Healthcare Board for Senior Officials of Thai Binh Province
3 Thai Binh University of Medicine and Pharmacy

Main Article Content

Abstract

Aims: To identify the prevalence and characteristics of some nutritional indicators according to the standards of the International Society of Renal Nutrition and Metabolism in patients with chronic kidney disease stages 3–5 treated at Thai Binh Provincial General Hospital.


Methods: A cross-sectional study was conducted on 130 patients with chronic kidney disease stage 3-5. The protein-energy wasting syndrome (PEWS) was classifid using criteria of the International Society of Renal Nutrition & Metabolism.


Results: The rate of PEWS was 71.5%. The PEWS patients presented from 1 to 4 main criteria, in which subjects with 2 criteria met with the highest rate (55.9%), and those with 4 criteria met with the lowest rate (3.2%). The PEWS rate gradually decreased from moderate to severe and mild. Reducing BMI met the diagnostic criteria for PEWS with the highest rate (61.5%); total blood protein decreased with the lowest rate (12.3%). Several sub-criteria to diagnose PEWS met with different rates: decrease in lymphocyte count: 52.3%; anorexia: 40.8%; increased triglyceride: 27.7%; hypokalemia: 18.4%.


Conclusion: Chronic disease patients in stage 3-5 had a high rate of PEWS. They need to be paied more attention to evaluate the nutritional status and give an appropritate treatment of nutrition in clinical practice.

Article Details

References

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