Intradialytic parenteral nutrition in hemodialysis patients: Acute and chronic intervention.
Protein and calorie malnutrition have been encountered more frequently than expected in the hemodialysis patients. Intradialytic parenteral nutrition (IDPN) has been documented to improve nutritional status in hemodialysis patients in both acute and chronic settings (Henrich, 1996). The aim of this study was to support the usage of IDPN in our malnourished hemodialysis patients. Serum concentration of albumin is one of the main indicators of mortality in the dialysis population. The serum albumin concentration for six out of eight of our hemodialysis (HD) patients receiving IDPN increased significantly. There was a mean increase of 7.0 g/L of plasma albumin for the eight patients assessed. These results demonstrate that IDPN is an effective nutritional intervention for malnourished hemodialysis patients.
Avery-Lynch
Margaret
M
Regional Dialysis Program, Peterborough, Ontario. mavery-l@prhc.on.ca
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000596:Amino Acids / Q000627:therapeutic use; D002908:Chronic Disease; D004046:Dietetics / Q000458:organization & administration; D004573:Electrolytes; D005217:Fat Emulsions, Intravenous / Q000627:therapeutic use; D005260:Female; D005947:Glucose; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D009398:Nephrology / Q000458:organization & administration; D015596:Nutrition Assessment; D009752:Nutritional Status; D009864:Ontario; D010288:Parenteral Nutrition / Q000379:methods*; D057947:Parenteral Nutrition Solutions; D010348:Patient Care Team / Q000458:organization & administration; D018579:Patient Selection; D011502:Protein-Energy Malnutrition / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006435:Renal Dialysis / Q000009:adverse effects / Q000379:methods; D012307:Risk Factors; D012709:Serum Albumin / Q000032:analysis; D012996:Solutions; D016896:Treatment Outcome
D000596:Amino Acids; D004573:Electrolytes; D005217:Fat Emulsions, Intravenous; D057947:Parenteral Nutrition Solutions; D012709:Serum Albumin; D012996:Solutions; C545824:amino-acid, glucose, and electrolyte solution; D005947:Glucose