Health Condition 1: N186- End stage renal disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Stable patients with endstage kidney disease on maintenance hemodialysis or peritoneal dialysis for at least three months 2. Willing to follow-up once in three months in Nephrology OPD 3. Consenting for the study protocol 4. Nonpregnant individuals
Exclusion criteria
Exclusion criteria: 1. Planned transplant within three months 2. Expected survival (such as advanced malignancy or terminal illness) less than three months 3. Pregnancy, amputees (conditions precluding bioelectric impedance) 4. Severe cognitive impairment or psychiatric illness (precluding malnutrition inflammation score) 5. Exclusion from analyses: Study participants without the first three-monthly follow-up scores will be excluded from analyses; Participants refusing further care at the study centre/ telephonic follow-up for adverse events, will also be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diagnostic accuracy of lean tissue index (LTI)by bioelectrical impedance analysis in comparison to Geriatric Nutritional Risk Index (GNRI) in predicting adverse events(defined as mortality, any hospitalization or infection-related hospitalization) from three months of enrolment till the end of study in stable CKD-5D patients.Timepoint: 18 months | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the change in lean tissue index (LTI) by bioelectric impedance at three months with change in Geriatric Nutritional Risk Index (GNRI) at three months among stable patients of end stage kidney disease on maintenance hemodialysis (2 times a week) continuous ambulatory peritoneal dialysisTimepoint: 18 months;To correlate the relative changes in both nutritional status indices (LTI and GNRI) with the occurrence of adverse events (defined as mortality, any hospitalization or infective episode requiring two or more doses of intravenous antimicrobials) from three months of enrolment till the end of study.Timepoint: 18 months | — |
Countries
India
Contacts
Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow