PMID: 11902634Mar 21, 2002Paper

Nutritional screening tools for CAPD patients: are computers the way forward?

EDTNA/ERCA Journal : Official Journal of the European Dialysis and Transplant Nurses Association, European Renal Care Association
Tracy Gower

Abstract

The aim of this study was to develop a computer programme (CP) to identify CAPD patients at risk of malnutrition as well as screen monthly biochemical results of transplant (tx), haemodialysis (HD), CAPD and nephrology (Ne) patients for abnormal levels such as hyperkalaemia. The CP was designed using the programme Proton. Proton can automatically download biochemical results from pathology making it possible to generate a list of patients with results outside a desired biochemical range in accordance with national renal standards for adult patients. Biochemical measures of nutritional status were used to define malnutrition as 2 or more results outside of these parameters (see Table 1): 10% weight loss, Kt/V < 1.9, normalised protein catabolic rate (nPCR) < 1.2: predialysis urea < 15 mmol/L, phosphate (PO4) < 0.75 mmol/L, potassium (K), < 3.3 mmol/L. The CP was compared with standardised dietetic assessments (SDA) for validity. An SDA includes a review of medical, social history, biochemistry (blood and urine), dialysis prescriptions, treatment plans, medications, weight changes, BMI, dietary intake compared to therapeutic guidelines with documented aims. The therapeutic guidelines used to complete dietary assessment include: p...Continue Reading

Citations

Mar 24, 2007·Clinical Chemistry and Laboratory Medicine : CCLM·A Myron JohnsonUNKNOWN Scientific Division Committee on Plasma Proteins (C-PP), International Federation of Clinical Chemistry and Laboratory Medic
Apr 25, 2013·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Miguel C Riella
May 29, 2016·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Yizhou Andrew XiaRozanne Kruger

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