Nutritional status using ISRNM criteria and MIS of chronic haemodialysis patients at Sanjiwani Gianyar General Hospital

Abstract

Protein energy wasting (PEW) are common in patients with chronic kidney disease (CKD), especially in patientson chronic dialysis therapy. This cross-sectional descriptive analytic study aims to examine the prevalent of PEW based on The International Society of Renal Nutrition and Metabolism criteria (ISRNM): (anthropometric measurement (BMI = Body Mass Index), biochemical measurement (serum albumin), and muscle mass (mid upper-arm circumference) and Malnutrition Inflammation Score (MIS) tools in calculating prevalent of PEW among haemodialysis patients.This study recruited 71 chronic haemodialysis patients at Sanjiwani Gianyar General Hospital composed of 51 maleand 20 female, mean of age is 49.7± 14.7 and most patients (69%) with permanent access AV shunt. Based on The ISRNM criteria of PEW, this study exhibited PEW whilst 66.2% (BMI less than 23 kg/m2, serum albumin concentration less than 3.8 g/dl, and mid upper-arm circumference less than 25.5 cm) and 69% patient were malnourished on MIS more than equal to 5 score, respectively. Conclusions: prevalence of PEW in chronic HD patients at Sanjiwani Gianyar General Hospital is high according to ISRNM criteria and MIS. And PEW based on ISRNM criteria were consistently to MIS with kappa 0.468; p<0,001.