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29 November 2024 : Clinical Research  

Effects of Nutritional Protocol Changes on Hemodialysis Adequacy and Patient Health During the COVID-19 Pandemic

Cebrail Karaca ORCID logo1ABCDEF*, Safak Mirioglu ORCID logo2DEF, Aydan Mutis Alan ORCID logo3CD, Saadet Usakli ORCID logo4AB, Beyza Nur Aydin Keskin ORCID logo4AB, Mehmet Erdem ORCID logo4AB, Ahmet Murt ORCID logo3F, Mevlut Tamer Dincer ORCID logo3EF, Nurhan Seyahi ORCID logo3AE, Sinan Trabulus ORCID logo3AE

DOI: 10.12659/MSM.946471

Med Sci Monit 2024; 30:e946471

Abstract

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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

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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 Research

Dinah V. Parums

DOI: 10.12659/MSM.947428

Med Sci Monit 2024; 30:e947428

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750