Dialysis Adequacy in Nutritional Status in Hemodialysis Patients
NCT ID: NCT06108856
Last Updated: 2023-10-31
Study Results
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Basic Information
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UNKNOWN
200 participants
OBSERVATIONAL
2023-12-01
2025-01-31
Brief Summary
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Effect of dialysis adequacy and nutritional status in patients' quality of life.
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Detailed Description
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Adequacy of hemodialysis can be appeared on patient clinically by improve Quality of life and life expectancy, increase appetite and weight gain, control blood pressure, no bone disease, control of acidosis and anemia, Relief of uremic symptoms as nausea, vomiting, fatigue, anorexia, weight loss, muscle cramps, pruritus, or changes in mental status.
Malnutrition is a major issue in patients undergoing hemodialysis and is observed in approximately 20% - 70% of this group. Malnutrition is a serious predictive factor for mortality and morbidity accompanied by an increase in the rate of hospitalization, less physical activity, lower quality of life.
An imbalance between energy and protein gain and food metabolism, metabolic acidosis, dietary restrictions, anorexia and poor appetite, protein and nutrient loss during dialysis, underlying diseases, such as cardiovascular problems, infection, poor nutrition management, inadequate dialysis, etc. are among influencing factors on the nutrition of hemodialysis patients.
Among patients undergoing hemodialysis, 6% to 8% suffer from severe malnutrition and 30% - 65% from mild malnutrition. The results of some studies have shown that one of the important causes of malnutrition is low dialysis adequacy in patients undergoing hemodialysis.
Malnutrition is associated with an increase in morbidity, a decrease in functional capacity, and a greater number and duration of hospital admissions, all of which may cause a low health-related quality of life (QOL) and impact patients' emotional, physical, and psychosocial health.
Conditions
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Study Design
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CASE_ONLY
CROSS_SECTIONAL
Interventions
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Hemodialysis machine
machine by which people undergo dialysis on it.
Eligibility Criteria
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Inclusion Criteria
2. patients above 18 years
Exclusion Criteria
2. Patients with acute infection.
3. Patients with major surgeries.
4. Patients with malignancy.
5. Patients with liver cirrhosis.
6. patient with inflammatory bowel diseases.
18 Years
75 Years
ALL
No
Sponsors
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Cairo University
OTHER
Responsible Party
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George san dawoud bebawy
Principal Investigator
Central Contacts
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References
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Kutsal DA, Kursat S, Inci A, Ulman C, OzanUtuk I. The relationship between malnutrition subgroups and volume parameters in pre-dialysis patients. Saudi J Kidney Dis Transpl. 2016 Jan;27(1):81-7. doi: 10.4103/1319-2442.174082.
Chan M, Kelly J, Batterham M, Tapsell L. Malnutrition (subjective global assessment) scores and serum albumin levels, but not body mass index values, at initiation of dialysis are independent predictors of mortality: a 10-year clinical cohort study. J Ren Nutr. 2012 Nov;22(6):547-57. doi: 10.1053/j.jrn.2011.11.002. Epub 2012 Mar 9.
Other Identifiers
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dialysis adequacy
Identifier Type: -
Identifier Source: org_study_id
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