WU HUNG-LIEN1,3, SUNG JUNNE-MING2, TSENG CHIN-CHUNG3, WANG MING-CHENG4 1Department of Nutrition, National Cheng Kung University Hospital, Tainan; Taiwan; 2Internal Medicine, National Cheng Kung University Hospital, Tainan; Taiwan; 3Internal Medicine, National Cheng
Kung University Hospital, Tainan; Taiwan; 4Internal Medicin, National Cheng Kung University Hospital, Tainan; Taiwan Introduction: The subjective global assessment (SGA) is a good nutritional assessment method and predict the outcome in dialysis patients, but fewer studies analysis the 6 items in SGA to effect on the outcome of patients with chronic peritoneal dialysis (CPD). The purposes of the study investigate the 6 items from SGA affected outcome of CPD patients MAPK inhibitor in Southern CP-673451 datasheet Taiwan. Methods: Our study enrolled 183 chronic PD
patients (92 males and 91 females) from National Cheng Kung University Hospital, Tainan, Taiwan and new CPD patients from 2003 to 2012, and fellow up 9 years. For assessment of nutritional status used a 7 point of SGA scales, the method include six items, as weight loss in the preceding 6 months, appetite, gastrointestinal symptoms, daily activity, disease stress, and the physical examination. Results: Older, DM, cancer, CAD, hyperlipidemia, and before PD received HD patients had higher dropout rate. Higher total SGA score, appetite score, GI function score, activity score had better outcome. Univariated Cox’s regression model see more analysis for reaching end points in CPD patients: age (HR (95% CI): 1.03 (1.02–1.05), P < 0.001),
Cancer (HR (95% CI): 2.17 (1.12–5.10), P = 0.022), DM (HR (95% CI): 2.15 (1.28–3.62), P = 0.004), CAD (HR (95% CI): 2.28 (1.26–4.12), P = 0.006) were higher risk, but higher total SGA score (HR (95% CI): 0.78 (0.64–0.95), P = 0.017), body weight change score (HR (95% CI): 0.82 (0.69–0.98), P = 0.028), GI function score (HR: 0.77 (0.65–0.92), P = 0.003), activity score (HR: 0.72 (0.61–0.86), P < 0.001) can significantly decrease the risk of dropout from CPD. Conclusion: older age, DM, and CAD increase the risks, but higher total SGA score, especially higher activity score can reduced hazard ratio and increase outcome in CPD patients. ROJSANGA PIYARAT Dialysis unit, Medicine Department, Udon Thani Hospital, Thailand Introduction: Continuous ambulatory peritoneal dialysis (CAPD) is the main renal replacement therapy (RRT) in Thailand due to universal coverage scheme. CAPD associated peritonitis is the major complication in CAPD. From previous studies showed that advanced age, diabetes, high body mass index, hypoalbuminemia and high blood sugar were associated with increase in incidence of CAPD associated peritonitis. This study was conducted to evaluate the risk factors of peritonitis in CAPD clinic in Udon Thani Hospital.