29 November 2024 : Clinical Research
Effects of Nutritional Protocol Changes on Hemodialysis Adequacy and Patient Health During the COVID-19 Pandemic
Cebrail Karaca 1ABCDEF*, Safak Mirioglu 2DEF, Aydan Mutis Alan 3CD, Saadet Usakli 4AB, Beyza Nur Aydin Keskin 4AB, Mehmet Erdem 4AB, Ahmet Murt 3F, Mevlut Tamer Dincer 3EF, Nurhan Seyahi 3AE, Sinan Trabulus 3AEDOI: 10.12659/MSM.946471
Med Sci Monit 2024; 30:e946471
Abstract
BACKGROUND: During the COVID-19 pandemic, strict feeding restrictions were implemented in many dialysis centers to minimize transmission between patients. This study aims to evaluate the effects of these feeding restrictions on dry weight, intradialytic hypotension (IDH), and dialysis adequacy in hemodialysis patients.
MATERIAL AND METHODS: In this retrospective single-center study involving 76 hemodialysis patients, data from 2 consecutive 6-month periods were analyzed: the first before the COVID-19 pandemic when intradialytic nutrition was supported, and the second during the pandemic when intradialytic nutrition was restricted. Data from the patients’ monthly visits during both periods were evaluated, averages were recorded, and a comparison was made between the 2 periods.
RESULTS: The frequency of IDH was significantly higher during the feeding period compared with the no-feeding period (1.4±1.2/month vs 0.81±0.86/month, P=0.01). Conversely, the urea reduction ratio was greater in the no-feeding period [72.5% (69-76) vs 71% (68-75), P=0.01], as were the single-pool Kt/V values (1.59±0.23 vs 1.52±0.26, P=0.004) and ultrafiltration rates (mL/h/kg) (11.4±3.0 vs 10.4±3.2, P=0.01). However, the dry weight of the patients was similar in the 2 periods (65.4±13.7 kg vs 65.7±14.2 kg, P=0.62).
CONCLUSIONS: During the COVID-19 pandemic, mandatory feeding restrictions for hemodialysis patients, aimed at reducing transmission, were linked to a decrease in IDH frequency and improved dialysis adequacy. However, no significant reduction in patients’ dry weights was observed.
Keywords: Dietary Services, Feeding Behavior, Hemodialysis Units, Hospital, Hypotension, COVID-19
Editorial
01 December 2024 : Editorial
Editorial: The 2024 Revision of the Declaration of Helsinki and its Continued Role as a Code of Ethics to Guide Medical ResearchDOI: 10.12659/MSM.947428
Med Sci Monit 2024; 30:e947428
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