Assessment of Nutritional Status of Patients on the Maintenance Hemodialysis at Tertiary Care Hospital using Malnutrition Inflammatory Score

  • Hasham Bin Tahir Pak Emirates Military Hospital/National University of Medical Science (NUMS) Rawalpindi Pakistan
  • Malik Nadeem Azam Khan Pak Emirates Military Hospital/National University of Medical Science (NUMS) Rawalpindi Pakistan
  • Rabia Tariq Pak Emirates Military Hospital/National University of Medical Science (NUMS) Rawalpindi Pakistan
  • Raheel Khan Combined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Bilal Ahmed Pak Emirates Military Hospital/National University of Medical Science (NUMS) Rawalpindi Pakistan
  • Hafiz Waleed Khan
Keywords: End-stage renal disease (ESRD), Protein energy wasting (PEW), Malnutrition inflammatory Score (MIS)

Abstract

Objective: To determine the frequency of protein energy wasting among end stage renal disease patients on maintenance hemodialysis.

Study Design: Cross-sectional analytical study.

Place and Duration of Study: Department of Nephrology, Pak Emirates Military Hospital, Rawalpindi Pakistan, from May 2019 to Mar 2020.

Methodology: Two hundered patients diagnosed with end-stage renal disease on maintenance hemodialysis were included in the study. Protein-energy wasting was assessed using the Malnutrition inflammatory score comprising four x components: medical history, physical examination, laboratory parameters and body mass index. Malnutrition inflammatory score was used to categorize protein-energy wasting.

Results: Out of 200 patients with ESRD on maintenance hemodialysis, 73(36.5%) patients had mild, 120(60.0 %) patients had moderate, and 7(3.5%) patients had severe protein-energy wasting. The advanced age group, multiple comorbid (diabetes mellitus, hypertension, ischemic heart disease), and duration of hemodialysis (> 2 years) had a statistically significant association with the protein energy wasting (p-value < 0.05). Protein-energy wasting was also more prevalent in patients with low monthly income (p-value 0.04).

Conclusion: Protein-energy wasting is common among patients with end stage renal disease on maintenance hemodialysis.Old age group, multiple comorbid, and duration of hemodialysis are important risk factors.

 

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Published
2022-12-30
How to Cite
Tahir, H., Khan, M. N., Tariq, R., Khan, R., Ahmed, B., & Khan, H. (2022). Assessment of Nutritional Status of Patients on the Maintenance Hemodialysis at Tertiary Care Hospital using Malnutrition Inflammatory Score. Pakistan Armed Forces Medical Journal, 72(6), 2006-09. https://doi.org/10.51253/pafmj.v72i6.4442
Section
Original Articles