Assessment of nutritional status in hemodialysis patients using Patient-Generated Subjective Global Assessment

Desbrow, Ben, Bauer, Judith, Blum, Claudia, Kandasamy, Amutha, McDonald, Alison and Montgomery, Kate (2005) Assessment of nutritional status in hemodialysis patients using Patient-Generated Subjective Global Assessment. Journal of Renal Nutrition, 15 2: 211-216.


Author Desbrow, Ben
Bauer, Judith
Blum, Claudia
Kandasamy, Amutha
McDonald, Alison
Montgomery, Kate
Title Assessment of nutritional status in hemodialysis patients using Patient-Generated Subjective Global Assessment
Journal name Journal of Renal Nutrition  (ERA 2012 Listed)    (ERA 2010 Rank C)   Check publisher's open access policy
Publication date 2005-04
Sub-type Article
Year available 2005
DOI 10.1053/j.jrn.2004.10.005
Volume number 15
Issue number 2
ISSN 1051-2276
1532-8503
Start page 211
End page 216
Total pages 6
Place of publication New York, N.Y.
Publisher Elsevier
Language eng
Subject 1111 Nutrition and Dietetics
119999 Medical and Health Sciences not elsewhere classified
11 Medical and Health Sciences
Formatted abstract Objective
To evaluate the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in hemodialysis patients.

Design
A cross-sectional observational study assessing the nutritional status of hemodialysis patients.

Setting
Private tertiary Australian hospital.

Subjects
Sixty patients, ages 63.9 ± 16.2 years.

Intervention
Scored PG-SGA questionnaire, comparison of PG-SGA score ≥9 with subjective global assessment (SGA), albumin, corrected arm muscle area, and triceps skinfold.

Results
According to SGA, 80% of patients were well nourished and 20% of patients were malnourished. Patients classified as well nourished (SGA-A) attained a significantly lower median PG-SGA score compared with those rated as moderately malnourished or at risk of malnutrition (SGA-B). A PG-SGA score ≥9 had a sensitivity of 83% and a specificity of 92% at predicting SGA classification. There were significant correlations between the PG-SGA score and serum albumin, PG-SGA score, and percentage weight loss over the past 6 months. There was no association between PG-SGA score and body mass index or anthropometric measurements.

Conclusion
The scored PG-SGA is an easy-to-use nutrition assessment tool that allows quick identification of malnutrition in hemodialysis patients.
Article Outline
Keyword Chronic-renal-failure
Maintenance dialysis patients
Assessment PG-SGA
Quality-of-life
Peritoneal-dialysis
Serum-albumin
Morbidity
Mortality
Inflammation
Malnutrition
Q-Index Code C1

Document type: Journal Article
Sub-type: Article
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement Studies Publications
 
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