Turkish Journal of Nephrology
Original Article

THE RELATIONSHIP BETWEEN INDICES OF DIALYSIS ADEQUACY AND NUTRITIONAL STATUS AND UREMIC SYMPTOMS IN CAPD PATIENTS

1.

Atatürk Üniversitesi Tıp Fakültesi Nefroloji Bilim Dalı, ERZURUM

Turkish J Nephrol 1995; 4: 160-163
Read: 284 Downloads: 177 Published: 22 March 2019

We examined the relationship between quantitative indices of dialysis adequacy and nutritional status and patient-reported uremic symptomss in 20 CAPD patients. The Kt/Vurea, weekly total creatinine clearance (TCC), residual renal function (RRF), dialysis index (DI), normalized protein catabolic rate (NPCR) and serum albumin levels (SA) were calculated as indices of dialysis adequacy and nutritional status. The checklist consisted of 7 uremic symptoms, each scored from 0-3. The total symptom score was negatively correlated with Kt/Vurea (p<0.01), weekly TCC (p=0.01), DI (p<0.05), NPCR (p=0.001) and SA (p<0.0001). In patients whose total symptom score was higher than 7, Kt/Vurea (p<0.001), weekly TCC (p<0.01), RRF (p< 0.01), DI (p<0.05), NPCR (p<0.0001) and SA (p< 0.0001) were significantly lower than those in others. CAPD was intensified in patients considered to be inadequately dialyzed according to kinetic parameters with resolution of the uremic symptoms. In conclusion, dialysis dose prescription according to kinetic parameters is very useful in preventing uremic symptoms inpatients with CAPD. 

Files
EISSN 2667-4440