Importance of feeding status evaluation in older patients undergoing hemodialysis

• DOI: 10.1371/journal.pone.0279199
• Publication Date: 2023-01-03T18:44:14Z
• Authors: Satoko Notomi; Mineaki Kitamura; Noriko Horita; Kosei Yamaguchi; Takashi Harada; Tomoya Nishino; Satoshi Funakoshi; Yasuyo Abe
• Keywords: Male; Aged, 80 and over; 2. Zero hunger; Science; Q; Malnutrition; R; 610; Nutritional Status; Middle Aged; 3. Good health; 03 medical and health sciences; Nutrition Assessment; 0302 clinical medicine; Renal Dialysis; Risk Factors; 616; Medicine; Humans; Deglutition Disorders; Serum Albumin; Research Article; Aged

Older hospitalized patients undergoing hemodialysis are increasingly experiencing malnutrition caused by dysphagia. However, only a few studies have focused on this problem. We used the Kuchikara Taberu Balance Chart (KTBC) to evaluate patients' feeding status and examined its association with their nutritional prognosis. This study included elderly who were at Nagasaki Renal Center for > 3 days between June 2021 February 2022. In total, 82 inpatients [mean age, 73.4 ± 10.0 years; men, 57.3%; median dialysis vintage, 79.0 months (interquartile range, 37.3-164.8)]. classified lower than KTBC score (57 points) as being risk dysphagia; 37 (45.1%) Spearman's rank correlation coefficient (ρ) elucidated that total was significantly associated each indicator [serum albumin level (ρ = 0.505, p < 0.001); geriatric index 0.600, -0.566, 0.001)]. The also closely body mass 0.228, 0.04). Patients showed poor prognosis (log-rank test: 0.001), age- sex-adjusted Cox proportional analysis life (hazard ratio, 0.90; 95% confidential interval, 0.86-0.94; 0.001). Therefore, we concluded of dysphagia, identified using score, malnourished had Hence, evaluation dysphagia is encouraged prevent in vulnerable older hemodialysis.