NUTRITION AND HEMODIALYSIS: THE ASSOCIATION OF DIETITIAN INTERVENTION TOWARDS ACHIEVING QUALITY PATIENT DIALYSIS OUTCOMES

The National Kidney Foundation has recognized nutritional interventions as building blocks of better dialysis outcomes. This study investigated the influence of Dietitian Intervention on mortality, adherence to dialysis prescriptions, and Quality Patient Dialysis Outcomes. The Subjective Global Assessment (SGA) tool was used to identify ratings and these ratings were associated to the tendency of risk towards mortality using a hazard ratio of 95% confidence interval in cox regression using SPSS v.19. Results revealed that respondents who marked significantly as C (1) in the Functional Capacity Items – Dysfunction (sp=1.45) showed highest risk (17.5% risk) towards mortality. This implied that these individuals despite of Dietitian Interventions, mortality were increased related to co-morbidities. Respondents who had changes on eating habits in a typical breakfast, lunch, dinner compared from the last 6 months and those who, during physical examination, had ankle edema showed higher risk (sp=1.40) towards mortality at 3.44%. Respondents who showed a B (2) on metabolic demand (stress) and those with muscle wasting (quadriceps, deltoids) showed a 2.14% mortality risk (sp=1.37); lower than those with dysfunction. Results further indicated that respondents who have higher spKt/V (sp=1.58) showed an SGA rating of A (3) and noted to have lowest risks towards mortality and other co-morbidities. Quality Dialysis Patient Outcomes Hazard Ratio (95% Confidence Interval) SGA Rating Correlation DESCRIPTION Indicators Sp Kt/V (<1.2 = >1.2) 1.58 0.87 STRONG Dysfunction 1.22 0.66 STRONG Changes of Eating Habits 1.36 0.72 STRONG Metabolic demand 1.36 0.78 STRONG In conclusion, an influence of Dietitian Intervention was notable to all patients receiving dialysis treatments. The Clinical Dietitian’s facility in assisting dialysis patients on the proper diet to be taken associated to condition will enable the individual to lower mortality risk ratio