Efecto del tiempo de hemodiálisis sobre el estado nutricional de los pacientes renales de Contigo Clínica del Riñón de Santo Domingo de los Tsáchilas – 2017.

Abstract

The objective was to determine the effect of the hemodialysis time on the nutritional status in renal patients from Contigo Clínica del Riñón in Santo Domingo de los Tsáchilas, who are dialyzed three times a week. We evaluated 85 renal patients. The study is non-experimental, analytical and transversal. Anthropometric measures were taken: body mass index (BMI), triceps fold, middle arm circumference and waist circumference. The evaluation of human consumption was made with a reminder of 24-hours. In the biochemical parameters cholesterol, Ldl, HDL, triglycerides, calcium, phosphorus, potassium were measured. The malnutrition and inflammation score was applied, Kt / V dialysis sufficiency indicators and the protein equivalent of urea nitrogen (ANP) were verified. It was analyzed in IBM SPSS Statistics 23. It was found that the greater the time of dialysis, there is greater malnutrition according to the Tricipital Skinfold Thickness (TST), the increase in patients with hypertriglyceridemia, the hypoalbuminemia is present at a shorter or longer time, and according to a 24-hour reminder there was a relationship statistically significant (p <0.05), the longer on dialysis decreases protein intake and increases carbohydrate consumption. In the Malnutrition and Inflammation Score (MIS) with statistical significance was found; the longer dialysis, more malnutrition and inflammation, and the greater the time of dialysis, there is a protein deficit according to ANP. A relation was found between the time of dialysis and the protein intake, being found a negative relationship, evidencing a measure in the intake of 1.1gr / kg / day. The time of dialysis is very important for a renal patient, so more care should be taken from the year of dialysis since there is less protein intake at longer dialysis time and dialysis sufficiency markers are important and should be analyzed together when assessing the nutritional status of a patient undergoing hemodialysis treatment.