Prospective Assessment on Nutritional Deficiency Measurement in Kidney Failure Patients Receiving Hemo Dialysis in a Tertiary Care Hospital

Vattikala Bhargavi*, B. Kumar
Department of Pharmaceutics, Ratnam Institute of Pharmacy, Pidathapolur (V&P), Muthukur(M), SPSR Nellore- 524346, Andhra Pradesh, India.

A B S T R A C T
The of previous studies on malnutrition were carried out in end stage renal disease patients who were already on renal replacement therapy with only a few in pre-dialysis ESRD patients. Hemodialysis relies on the principle of solute diffusion across the semipermeable membrane. Patients were included in the study after obtaining written informed consent form and were selected based on the inclusion and exclusion criteria. All the required data was collected from patients through personal interview and individual prescription was analyzed. In our study 5-10,000 income patients mild SGA score is  33 and moderate SGA score is 21.10000 to 20000 income patients were mild SGA score is 9 and moderate SGA score is 13.30000 to 40000 income patients were mild SGA score is  10 and moderate SGA score is 9. Hypertension patient’s mild SGA score is 10 and moderate SGA score is 12.Liver and kidney disease patient’s mild SGA score is 5 and moderate SGA score is 21. In our study 6-12 months patients mild SGA score is 19 and moderate SGA score is 22. 12-18 months patients mild SGA score is 12 and moderate SGA score is 27.18-24 months patients mild SGA score is 7 and moderate SGA score is 8. Alcoholic patients having mild SGA nutritional deficiency score is 21 mild and moderate SGA nutritional deficiency score is 20. Female patients having mild score is 10 and moderate score is 29. Establishment of nutritional counseling centers in the health care and regular counseling, patient’s regular assessment and supplementing dietary materials can reduce the risk mortality.
Keywords: Hemodialysis, SGA, ESRD patients