Subjective Global Assessment for Nutritional Assessment of Patients on Regular Hemodialysis at Dialysis Unit at Tanta University Hospital
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- Category: Vol. 87, September 2019
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Subjective Global Assessment for Nutritional Assessment of Patients on Regular Hemodialysis at Dialysis Unit at Tanta University Hospital, MAI M. ELBAKARY, KAMAL M. OKASHA, AMR M. GAWALY and MANAL S. NEGM
Abstract
Background: Malnutrition is a major negative prognostic factor in dialysis patients. Simple and reliable estimations of nutritional status may therefore prove of particular value in the follow-up of these patients.
Aim of Study: To assess the nutritional status of hemodi-alysis patients using the Subjective Global Assessment (SGA) method and to validate Subjective Global Assessment (SGA) we compared subjective global assessment with objective measurements (anthropometry, biochemical measurements).
Patients and Methods: 100 patients aged from (18-65) on regular hemodialysis at Hemodialysis Unit of Tanta Uni-versity Hospitals. All were subjected to history taking, physical and clinical examination, routine laboratory investigation and we used the parameters of Subjective Global Assessment (SGA) for evaluating nutritional status of hemodialyzed patients with anthropometric measurements and laboratory parameters.
Results: 100 patient were assessed and about 82 patient were categorized as Group A which represent well-nourished groups and 18 patient were categorized as Group B which represent malnourished groups, there was statistically signif-icant difference as regard to BMI, BMR, Hb, TLC, s.iron, Creat, CRP, albumin, Ca, Na, lipid profile and nutritional status. And there was significant correlation between BMI and albumin, CRP, Hb, cholesterol, TG, and LDL and also there was significant correlation between BMR and CRP, cholesterol, TG, LDL and HDL. And according to multi regression analysis the independent predictors for nutritional assessment in hemodialysis patients were albumin, creatinine and hemoglobin.
Conclusion: SGA is an easy-to-use as nutritional assess-ment tool that allows quick identification of malnutrition in hemodialysis patients.