Prevalencia de desnutrición en pacientes con enfermedad renal crónica en el Hospital Naval de Guayaquil, 2017 - 2020.

Abstract

Background: The prevalence of malnutrition among individuals with CKD in Ecuador is mainly described among those who are already in dialysis treatment. The subjective global assessment (VGS) depends on the care and periodic evaluation by a Clinical Nutrition professional. Aim: To determine the prevalence of malnutrition in patients with CKD who do not require dialysis treatment at the Hospital Naval de Guayaquil (HOSNAG) during the period January 2017 to December 2020. Methods: Observational, descriptive, cross-sectional, retrospective recovery study, of the type prevalences. Two definitions were considered as malnutrition: a BMI <20; a VGS B / C. Results: 205 cases were recovered, with a median age of 64 years, of which 95 (46.3%) were female. There were 12/205 (5.9%) cases that presented a BMI <20, equivalent to malnutrition. A subjective global assessment A, B and C was estimated in 95 (46.3%), 87 (42.4%) and 23 (11.2%), respectively. Conclusion: The prevalence of malnutrition in patients with CKD who did not require dialysis treatment at HOSNAG between January / 2017 to December / 2020 was 5.9% (95% CI 3.3 - 10%) estimated by a BMI <20, and 53.6% (95% CI 46.8 - 60%) using a VGS B / C. According to the VGS, BMI is not a useful marker for predicting malnutrition in CKD patients who do not require dialysis treatment.