Introduction and objective: Serum albumin is a useful tool in nutritional status assessment with high specificity. Objective: To use serum albumin for nutritional status assessment in non-dialysis chronic kidney disease (CKD) patients. Patients and methods: This is a cross-sectional study undertaken at Nephrology Department of Cho Ray Hospital in 2011, 467 non-dialysis dependent CKD patients were enrolled in this study. Results: Of the 467 non-dialysis dependent CKD patients, 230 were females (49.3 percent) and 237 males (50.7 percent), giving a male to female ratio of 1.03: 1, median age: 46 (32-60). Serum albumin concentration were determined by colorimetric method with reagents is brommocresol green (BCG). diagnosis of malnutrition according to serum albumin level 3.5 g/dl. Prevalence of malnutrition in 467 non-dialysis dependent CKD patients were 12.4 percent, were 28.4 percent in patients with non-dialysis end-stage renal disease patients, were 26.9 percent in diabetic nephropathy patients. The prevalence of malnutrition determined by serum albumin level varied across stage of CKD, ranged from 10.3 percent to 46.6 percent according to stage 1 to stage 5. Prevalence of malnutrition increased significantly in stage 4 of CKD. Conclusion: The decline of renal function do not directly affect the concentration of albumin HT. Prevalence of malnutrition increased significant in stage 4 suggested there are increased risk of malnutrition when eGFR falls below 30 ml/min/1.73 m2.
- Đăng nhập để gửi ý kiến