Acute effects of intradialytic nutrition supplementation on hemodynamics, treatment efficiency, and gastrointestinal symptoms in maintenance hemodialysis patients
type: CreativeWork
description: Poor nutritional status is common and among the strongest predictors of mortality in patients undergoing maintenance hemodialysis (HD) treatment. Reduced dietary intake, especially on days in which patients undergo treatment, is one factor that contributes to this poor nutritional status. Providing nutritional supplements or allowing patients to eat during HD treatment can help restore dietary intake, improve nutritional status, and significantly reduce mortality in malnourished patients. However, in the United States this practice is frequently restricted due to concerns about patient safety. To better understand practice patterns related to eating during HD treatment we conducted an international survey. We received 73 responses representing clinics in six continents. Among this cohort, 61 of 73 clinicians (85%) were at clinics that allowed patients to eat during treatment and 53 (73%) were at clinics that provided food during treatment. Interestingly, none of the nine clinics from North America provided food during treatment. In the second part of this survey, we asked the 61 clinicians who were at clinics which allowed patients to eat during treatment about their experience with the six most-cited reasons to restrict eating during treatment using a four point scale. Clinicians responded that they observed choking (98%), reduced Kt/V (98%), infection control issues (96%), spills or pests (83%), gastrointestinal issues (71%), and hypotension (62%) either “rarely” or “never.” The results of our survey suggested that gastrointestinal (GI) issues were amongst the conditions most frequently attributed to eating during HD treatment. However, there have been no studies directly examining the effects of providing nutrition on these symptoms. One reason for this lack of data may have been the absence of a validated tool to measure GI symptoms. Therefore, we developed and validated a questionnaire to measure GI symptoms associated with a single HD treatment. Following a br…
abstract: Poor nutritional status is common and among the strongest predictors of mortality in patients undergoing maintenance hemodialysis (HD) treatment. Reduced dietary intake, especially on days in which patients undergo treatment, is one factor that contributes to this poor nutritional status. Providing nutritional supplements or allowing patients to eat during HD treatment can help restore dietary intake, improve nutritional status, and significantly reduce mortality in malnourished patients. However, in the United States this practice is frequently restricted due to concerns about patient safety. To better understand practice patterns related to eating during HD treatment we conducted an international survey. We received 73 responses representing clinics in six continents. Among this cohort, 61 of 73 clinicians (85%) were at clinics that allowed patients to eat during treatment and 53 (73%) were at clinics that provided food during treatment. Interestingly, none of the nine clinics from North America provided food during treatment. In the second part of this survey, we asked the 61 clinicians who were at clinics which allowed patients to eat during treatment about their experience with the six most-cited reasons to restrict eating during treatment using a four point scale. Clinicians responded that they observed choking (98%), reduced Kt/V (98%), infection control issues (96%), spills or pests (83%), gastrointestinal issues (71%), and hypotension (62%) either “rarely” or “never.” The results of our survey suggested that gastrointestinal (GI) issues were amongst the conditions most frequently attributed to eating during HD treatment. However, there have been no studies directly examining the effects of providing nutrition on these symptoms. One reason for this lack of data may have been the absence of a validated tool to measure GI symptoms. Therefore, we developed and validated a questionnaire to measure GI symptoms associated with a single HD treatment. Following a br…
author: Kistler, Brandon
language: en
keywords: Hemodynamics, Intradialytic Nutrition
date published: 2016-03-02T21:06:25Z
date modified: 2026-07-22T22:26:32Z
provider: University of Illinois - Urbana-Champaign
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of Illinois at Urbana-Champaign

PropertyValue
property ID: Handle
value: http://hdl.handle.net/2142/89194