Abstract

A STUDY ON EVALUATION AND ASSESSMENT OF MALNUTRITION IN HEAMODIALYSIS PATIENTS USING SGA SCALE

*M. Jhansi Rani, M. Gobinath and B. Kumar

ABSTRACT

Haemodialysis is a central issue in management of ESRD. Malnutrition is the most prevalent cause of death in Haemodialysis patients. The study aims at assessing the prevalence and extent of malnutrition among the patients undergoing haemodialysis by providing leaflets and verbal tips. This is a prospective observational study where patients undergoing haemodialysis are enrolled and they are observed and evaluated for the signs of malnutrition by using a Subjective Global Assessment Scale (SGA Scale), Six months of the study conducted at a tertiary care hospital on patients undergoing haemodialysis revealed various results. In this study Gender- 63.88% of males, 54.16% of females have mild malnutrition. Literacy- 45% of illiterates and 90% of literates has mild malnutrition. Economic status- <50000 40%, 50000 to100000-77.2%, >100000 -69.2% has mild malnutrition. Social history: Alcoholic- 38.4%, None -64.86%, smoker- 70%. Comorbidities: Absent-54.5%, Present-61.2%. Moderate malnutrition characterized as Gender- 45.83% of males, 36.11% of females has moderate malnutrition. Literacy: Illiterates 55%, literates 10%. Economic status: <50000-60%, 50000 to 100000-22.7%, >100000- 30.7%. Social history: Alcoholic-61.5%, None-35.1%, smoker-30%. Co-morbidity absent in 45.4% and present in 38.7% of the subjects. It is concluded that malnutrition in the patients undergoing haemodialysis can be a result of Age, Illiteracy, Low economic status, Comorbidities which includes HTN, Diabetes mellitus.

Keywords: Haemodialysis, Malnutrition, ESRD, Severity, SGA, Illiteracy.