Nutritional assessment of continuous ambulatory peritoneal dialysis patients.
This study revealed the following. Malnutrition was frequent (41.6%) in patients on CAPD for less than three months and was present in 18.1% of patients on CAPD for longer than 3 months. Fifty percent of these malnourished patients returned to normal on conventional nutritional management within 2 to 6 months, but 10% remained malnourished throughout the study period. There was increased mortality among malnourished patients, but we were unable to demonstrate that the state of nutrition was an independent risk factor, because of the increased prevalence of other co-morbid risk factors known to influence survival and because of the limitation of a small sample size. The influence, if any, of nutritional state as an independent risk factor on the survival of CAPD patients should be answered, because malnutrition is potentially reversible with aggressive nutritional interventions, such as enteral, parenteral, or intraperitoneal supplementation.
Fenton
S S
SS
Department of Medicine, Toronto General Hospital, Ontario, Canada.
Johnston
N
N
Delmore
T
T
Detsky
A S
AS
Whitewell
J
J
O'Sullivan
R
R
Cattran
D C
DC
Richardson
R M
RM
Jeejeebhoy
K N
KN
D006801:Humans; D008875:Middle Aged; D009748:Nutrition Disorders / Q000209:etiology; D009752:Nutritional Status; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D010808:Physical Examination; D012307:Risk Factors