Prevalence of Protein-Energy Wasting in Dialysis Patients Using a Practical Online Tool to Compare with Other Nutritional Scores: Results of the Nutrendial Study
Por:
Arias-Guillen, M, Collado, S, Coll, E, Carreras, J, Betancourt, L, Romano, B, Fernandez, M, Duarte, V, Garro, J, Soler, J, Gonzalez, JC, Calabia, J
Publicada:
1 ago 2022
Resumen:
This cross-sectional study aims to explore the prevalence of protein-energy wasting (PEW) in dialysis patients in Catalonia, Spain, using a new and practical online tool which enables rapid calculation and comparison with other nutritional scores. Methods: A web tool (Nutrendial) was created to introduce different variables and automatically calculate PEW, Malnutrition inflammation Score (MIS) and Subjective Global Assessment (SGA) in 1389 patients (88% in haemodialysis (HD)), 12% in peritoneal dialysis (PD) from different regions of Catalonia. Results: A prevalence of 23.3% (26% HD, 10.2% PD) of PEW was found, with a mean MIS score of 6 and SGA score of C in 7% of the patients. ROC analysis showed MIS as the best nutritional score to diagnose PEW (AUC 0.85). Albumin delivered lower diagnostic precision (AUC 0.77) and sensitivity (66%). A cut off point of 7 (86% sensitivity and 75% specificity) for MIS and 3.7 mg/dL for albumin were found to predict the appearance of PEW in this population. SGA B or C showed an 87% sensitivity and 55% specificity to diagnose PEW. Very low nutritional intervention (14%) was recorded with this tool in patients with PEW. Conclusions: This new online tool facilitated the calculation of PEW, enabling different professionals-including nephrologists, dieticians and nurses-to efficiently obtain insights into the nutritional status of the Catalonian dialysis population and implement the required nutritional interventions. MIS is the score with more sensitivity to diagnose PEW.
Filiaciones:
Arias-Guillen, M:
Hosp Clin Barcelona, Renal Transplantat & Nephrol Dept, Barcelona 08036, Spain
Collado, S:
Hosp Mar Parc Salut Mar, Nephrol Dept, Barcelona 08003, Spain
Coll, E:
Fundacio Puigvert, Nephrol Dept, Barcelona 08025, Spain
Carreras, J:
Diaverum, Ctr Diaverum Baix Llobregat, Lhospitalet Del Llobrega, Spain
Betancourt, L:
Corporacio Sanitaria Parc Tauli, Nephrol Dept, Sabadell 08208, Spain
Romano, B:
Hosp Clin Barcelona, Nutr & Dietet Unit, Barcelona 08036, Spain
Fernandez, M:
Hosp Mar Parc Salut Mar, Nephrol Dept, Barcelona 08003, Spain
Duarte, V:
Hosp Terrassa, Nephrol Dept, Terrassa 08227, Spain
Garro, J:
Hosp Joan 23, Nephrol Dept, Tarragona 43005, Spain
Soler, J:
Hosp Badalona Germans Trias & Pujol, Nephrol Dept, Badalona 08916, Spain
Gonzalez, JC:
Hosp Mollet, Nephrol Dept, Mollet Del Valles 08100, Spain
Calabia, J:
Hosp Univ Girona Doctor Josep Trueta, Nephrol Dept, Girona 17001, Spain
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