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Importance of feeding status evaluation in older patients undergoing hemodialysis
Older hospitalized patients undergoing hemodialysis are increasingly experiencing malnutrition caused by dysphagia. However, only a few studies have focused on this problem. We used the Kuchikara Taberu Balance Chart (KTBC) to evaluate the patients’ feeding status and examined its association with t...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9810173/ https://www.ncbi.nlm.nih.gov/pubmed/36595498 http://dx.doi.org/10.1371/journal.pone.0279199 |
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author | Notomi, Satoko Kitamura, Mineaki Horita, Noriko Yamaguchi, Kosei Harada, Takashi Nishino, Tomoya Funakoshi, Satoshi Abe, Yasuyo |
author_facet | Notomi, Satoko Kitamura, Mineaki Horita, Noriko Yamaguchi, Kosei Harada, Takashi Nishino, Tomoya Funakoshi, Satoshi Abe, Yasuyo |
author_sort | Notomi, Satoko |
collection | PubMed |
description | Older hospitalized patients undergoing hemodialysis are increasingly experiencing malnutrition caused by dysphagia. However, only a few studies have focused on this problem. We used the Kuchikara Taberu Balance Chart (KTBC) to evaluate the patients’ feeding status and examined its association with their nutritional status and prognosis. This study included elderly patients undergoing hemodialysis who were hospitalized at Nagasaki Renal Center for > 3 days between June 2021 and February 2022. In total, 82 inpatients were included [mean age, 73.4 ± 10.0 years; men, 57.3%; median dialysis vintage, 79.0 months (interquartile range, 37.3–164.8)]. We classified patients with lower than the median KTBC score (57 points) as being at risk for dysphagia; 37 patients (45.1%) were at risk for dysphagia. Spearman’s rank correlation coefficient (ρ) elucidated that the KTBC total score was significantly associated with each nutritional indicator [serum albumin level (ρ = 0.505, p < 0.001); geriatric nutritional risk index (ρ = 0.600, p < 0.001); and nutritional risk index (ρ = -0.566, p < 0.001)]. The KTBC score was also closely associated with the body mass index (ρ = 0.228, p = 0.04). Patients with a lower KTBC score showed poor prognosis (log-rank test: p = 0.001), and age- and sex-adjusted Cox proportional analysis showed that the KTBC score was associated with life prognosis (hazard ratio, 0.90; 95% confidential interval, 0.86–0.94; p < 0.001). Therefore, we concluded that the patients at risk of dysphagia, identified using the KTBC score, were malnourished and had a poor prognosis. Hence, the evaluation of dysphagia using the KTBC is encouraged to prevent malnutrition in vulnerable older patients undergoing hemodialysis. |
format | Online Article Text |
id | pubmed-9810173 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-98101732023-01-04 Importance of feeding status evaluation in older patients undergoing hemodialysis Notomi, Satoko Kitamura, Mineaki Horita, Noriko Yamaguchi, Kosei Harada, Takashi Nishino, Tomoya Funakoshi, Satoshi Abe, Yasuyo PLoS One Research Article Older hospitalized patients undergoing hemodialysis are increasingly experiencing malnutrition caused by dysphagia. However, only a few studies have focused on this problem. We used the Kuchikara Taberu Balance Chart (KTBC) to evaluate the patients’ feeding status and examined its association with their nutritional status and prognosis. This study included elderly patients undergoing hemodialysis who were hospitalized at Nagasaki Renal Center for > 3 days between June 2021 and February 2022. In total, 82 inpatients were included [mean age, 73.4 ± 10.0 years; men, 57.3%; median dialysis vintage, 79.0 months (interquartile range, 37.3–164.8)]. We classified patients with lower than the median KTBC score (57 points) as being at risk for dysphagia; 37 patients (45.1%) were at risk for dysphagia. Spearman’s rank correlation coefficient (ρ) elucidated that the KTBC total score was significantly associated with each nutritional indicator [serum albumin level (ρ = 0.505, p < 0.001); geriatric nutritional risk index (ρ = 0.600, p < 0.001); and nutritional risk index (ρ = -0.566, p < 0.001)]. The KTBC score was also closely associated with the body mass index (ρ = 0.228, p = 0.04). Patients with a lower KTBC score showed poor prognosis (log-rank test: p = 0.001), and age- and sex-adjusted Cox proportional analysis showed that the KTBC score was associated with life prognosis (hazard ratio, 0.90; 95% confidential interval, 0.86–0.94; p < 0.001). Therefore, we concluded that the patients at risk of dysphagia, identified using the KTBC score, were malnourished and had a poor prognosis. Hence, the evaluation of dysphagia using the KTBC is encouraged to prevent malnutrition in vulnerable older patients undergoing hemodialysis. Public Library of Science 2023-01-03 /pmc/articles/PMC9810173/ /pubmed/36595498 http://dx.doi.org/10.1371/journal.pone.0279199 Text en © 2023 Notomi et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Notomi, Satoko Kitamura, Mineaki Horita, Noriko Yamaguchi, Kosei Harada, Takashi Nishino, Tomoya Funakoshi, Satoshi Abe, Yasuyo Importance of feeding status evaluation in older patients undergoing hemodialysis |
title | Importance of feeding status evaluation in older patients undergoing hemodialysis |
title_full | Importance of feeding status evaluation in older patients undergoing hemodialysis |
title_fullStr | Importance of feeding status evaluation in older patients undergoing hemodialysis |
title_full_unstemmed | Importance of feeding status evaluation in older patients undergoing hemodialysis |
title_short | Importance of feeding status evaluation in older patients undergoing hemodialysis |
title_sort | importance of feeding status evaluation in older patients undergoing hemodialysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9810173/ https://www.ncbi.nlm.nih.gov/pubmed/36595498 http://dx.doi.org/10.1371/journal.pone.0279199 |
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