Comparative study between enteral and intradialytic parenteral nutrition in hemodialysis patients
Joint Authors
Anis, Sharif G.
Labib, Hibah Abd al-Azim
al-Damardash, Ahmad M.
Ibrahim, Sharif Faruq
Kura, Ala al-Din Abd al-Wahhab
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 10, Issue 1 (31 Mar. 2017), pp.68-75, 8 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2017-03-31
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background Protein–energy malnutrition is very common among patients with end-stage renal disease undergoing maintenance hemodialysis therapy.
Aim The aim of this prospective randomized study was to compare the effect of enteral nutrition (EN) and intradialytic parenteral nutrition (IDPN) on malnourished hemodialysis patients receiving nutritional support admitted in the intensive care unit.
Patients and methods A total of 135 patients between 18 and 60 years of age admitted in Ain shams University Hospitals’ intensive care units and on regular hemodialysis were randomly allocated to three groups of 45 each.
Group A received enteral and IDPN (250 ml dextrose 25%, 250 ml intralipid 10%, 250 nephrosteril 7%, and trace elements and vitamins).
Group B received enteral and IDPN (250 ml dextrose 25%, 250 ml intralipid 10%, 250 aminosteril N-Hepa 8%, and trace elements and vitamins).
Group C received only EN.
The following evaluations were carried out: biochemical evaluation, which included serum albumin, prealbumin, transferrin, and urinary urea nitrogen evaluation every 20, 4, 8, and 0 days, respectively, and after 6 weeks at the end of the study, and anthropometric parameter measurement, which included BMI, mid-arm circumference, and dialysis malnutrition score (DMS).
Results Serum albumin, prealbumin, BMI, and DMS significantly increased (P≤0.001) at the end in all groups.
Serum transferrin increased only in groups A and B (P≤0.001), and there was a nonsignificant increase in group C (P≤0.05).
No significant difference was found at the end between group A and group B as regards serum albumin (P=0.056), serum prealbumin (0.062), serum transferrin (0.0942), BMI (0.455), and DMS (P=0.840).
Serum albumin, prealbumin, transferrin, and BMI showed a significant difference (P≤0.001) in group C at the end of the study in comparison with groups A and B with lower SD.
Conclusion IDPN, either aromatic or branched amino acid, in addition to EN showed the same and greater improvement compared with patients who received only EN.
American Psychological Association (APA)
al-Damardash, Ahmad M.& Anis, Sharif G.& Labib, Hibah Abd al-Azim& Ibrahim, Sharif Faruq& Kura, Ala al-Din Abd al-Wahhab. 2017. Comparative study between enteral and intradialytic parenteral nutrition in hemodialysis patients. Ain Shams Journal of Anesthesiology،Vol. 10, no. 1, pp.68-75.
https://search.emarefa.net/detail/BIM-841297
Modern Language Association (MLA)
al-Damardash, Ahmad M.…[et al.]. Comparative study between enteral and intradialytic parenteral nutrition in hemodialysis patients. Ain Shams Journal of Anesthesiology Vol. 10, no. 1 (Mar. 2017), pp.68-75.
https://search.emarefa.net/detail/BIM-841297
American Medical Association (AMA)
al-Damardash, Ahmad M.& Anis, Sharif G.& Labib, Hibah Abd al-Azim& Ibrahim, Sharif Faruq& Kura, Ala al-Din Abd al-Wahhab. Comparative study between enteral and intradialytic parenteral nutrition in hemodialysis patients. Ain Shams Journal of Anesthesiology. 2017. Vol. 10, no. 1, pp.68-75.
https://search.emarefa.net/detail/BIM-841297
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 75
Record ID
BIM-841297