SAT-307 Subjective Global Assessment for Nutritional Assessment of Patients on Regular Hemodialysis at Dialysis Unit at Tanta University Hospital

Abstract

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. A cross-sectional observational study assessing the nutritional status of hemodialysis patients. 100 patients aged from (18-65) on regular hemodialysis at hemodialysis unit of Tanta University 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. 100 patient were assessed and 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 significant 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 SGA is an easy-to-use as nutritional assessment tool that allows quick identification of malnutrition in hemodialysis patients.