Hospitalization is less in malnourished patients given intradialytic oral nutritional supplements

Autor: Eduardo Lacson Jr., Weiling Wang, Barbara Zebrowski, Rebecca Wingard, Raymond Hakim
Jazyk: English<br />Korean
Rok vydání: 2012
Předmět:
Zdroj: Kidney Research and Clinical Practice, Vol 31, Iss 2, p A48 (2012)
Druh dokumentu: article
ISSN: 2211-9132
DOI: 10.1016/j.krcp.2012.04.451
Popis: Use of intradialytic oral nutritional supplements (ONS) improve nutritional biomarkers but an association with hospitalization risk is unexplored. We evaluated hospitalization events from all causes (HOS), comparing patients with serum albumin ≤3.5 g/dL who received monitored ONS (at no patient cost) during chronic outpatient hemodialysis (HD) as part of a standardized national program in Fresenius Medical Care, North America facilities, with eligible patients who did not receive ONS (controls). Study enrolment covered Q4‐2009 and follow‐up was until 12/31/10. Patients who received ONS outside of the program or started during 2010 were excluded. Two protein bars and two liquid formulations of ONS options were offered – – which were available until albumin was ≥ 4.0 g/dL. Overall, HOS was lower in the ONS group (N= 7,264) at 2.5 vs. 2.7 episodes/pt‐year for controls (N= 13,853), p
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