[How to estimate the dietary protein intake of a hemodialysis patient? What formulate to use in practice?].
Bed-side formulae established from urea kinetic modelling offers a simple and convenient tool to determine the protein catabolic rate (PCR) and its equivalent the dietary protein intake (DPI), in hemodialysis patients, two major parameters used for assessing the dialysis dose adequacy and its protein nutritional consequences. Simplified urea kinetic analysis, must be part of the permanent quality control of the hemodialysis patient. These formulae contribute to judge more objectively the efficacy of renal replacement therapy program delivered to hemodialysis patients. Indeed, these formulae may not substitute to the clinical judgment of physician and may not replace conventional and major dialysis adequacy indicators (blood pressure control, extracellular and blood pressure control, bone and mineral metabolism control, anemia correction) or nutritional status (anthropometric data, somatic proteins, subjective global assessment...) By providing a way of assessing "dose of dialysis delivered" and "dietary protein intake", bed-side formulae derived from urea kinetic modelling offer a convenient and cheap means of quantifying dialysis adequacy. These formulae bring to the Physician a necessary although not sufficient complementary tool for assessing dialysis adequacy in hemodialysis patient.
Canaud
Bernard
B
Néphrologie, Dialyse et Soins Intensifs, Hôpital Lapeyronie, Montpellier, France.
Chenine
Leila
L
Henriet
Delphine
D
Gontiers
Annie
A
Rodriguez
Annie
A
Leray-Moragués
Hélène
H
D004044:Dietary Proteins / Q000008:administration & dosage*; D006801:Humans; D008433:Mathematics; D017410:Practice Guidelines as Topic; D006435:Renal Dialysis
D004044:Dietary Proteins