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논문분류	춘계학술대회 초록집
제목	Comparison between SGA (Subjective Global Assessment) and MIS (Malnutrition Inflammation Score) in Chronic Kidney Disease on Haemodialysis at Cipto Mangunkusumo General Hospital 2018
저자	Khaerani Angelia, Yudhi Adrianto, Triyani Kresnawan
출판정보	2019; 2019(1):
키워드	Nutrition Screening \| SGA \| MIS \| Malnutrition \| Haemodialysis
초록	To assess and find out the comparison between SGA and MIS screening of Malnutrition on Haemodialysis, also determining ideal screening tools for CKD on Haemodialysis Study of screening tools was organized as cross sectional study in 2018, using SGA tool and MIS tool. A sample 107 adults with CKD on HD were analyzed during June – July consists of 56 male and 51 female. SGA categorized with; A well nourished, B moderate malnutrition, C severe malnutrition, however MIS is scored by total points; 0-2 mild malnutrition, 3-5 moderate malnutrition, ≥9 severe malnutrition. SGA test result 90 patients are well nourished (84,1%), moderate malnutrition 11 patients (10,3%) and severe malnutrition 6 patients (5.6%). The result is under Indonesian prevalence of malnutrition that is 50 – 65%. However MIS data showed the opposite, total well nourished or mild malnutrition are 69 patients (64.5%), moderate malnutrition 27 patients (25.2%) and severe malnutrition 11 patients (10.3%). Average energy requirement is 1563±560 Kcal/day, both of well nourished patients in SGA and MIS screening is adequate 83% (1297±323 kcal/day) in severe malnutrition inadequate (55%; 862±221 kcal/day). Protein average requirements is 64±9.3 grams/day, both well nourished patients using SGA and MIS screening protein intake is sufficient 79% (50±8.2 gram/day), however in severe malnutrition only 45% (29±6.2 gram/day). Compared energy protein intake to screening tools showed only MIS score is influenced by energy intake (p<0.048). Nutrition screening tools for chronic kidney disease on haemodialysis is take part in nutrition status determination and malnutrition; it is needed to be practiced in dialysis center to overcome problem related nutrition and malnutrition preformed by dietitian collaborating with physican. Both of SGA and MIS have comprehensive evaluation; however MIS screening is supported with biochemical data such as albumin and TIBC (total iron binding capacity) that effected inflammation and reflected nutrition status.
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