Determination of malnutrition development status in hemodialysis patients

Ergun E. (2017). Determination of Malnutrition Development Status in Hemodialysis Patients. Yeditepe University Institute of Health Sciences, Nutrition and Dietetics Program, Master Thesis, İstanbul. The aim of this study is to determine the status of malnutrition in hemodialysis patients due to chronic renal insufficiency. For this work; between April 2016 and August 2016, a total of 281 adult patients aged 23 to 94, 124 women and 157 men were studied. Malnutrition screening for patients participating in the study was performed using some of the methods given in the literature. First, a questionnaire, reliability analysis is given in Annex 6, was applied (Annex 4). Serum albumin, total cholesterol, blood urea nitrogen and serum creatinine levels in this questionnaire were collected at dialysis centers where patients were treated since they have blood donation every month and it was determined whether patients were malnutrition according to these values. Later, the NRS 2002 test (Annex 5), a test that ESPEN proposed to use as a malnutrition screening tool in patients, was performed. Malnutrition rates according to the results of blood samples from patients are as follows; according to serum albumin standard 65.8%, according to serum creatinine standard 76.5%, according to cholesterol concentration standard 33.6% and according to blood urea nitrogen standard it was only 1.1 %. According to the results of NRS - 2002 test; mild malnutrition was found in 12.5% moderate malnutrition was found in 17.4%, severe malnutrition was found in 14.9% of the patients participating in the study. Result for all patients was 44.8% malnutrition. Key Words: Malnutrition, hemodialysis, NRS 2002, albumin, cholesterol