MON-087 BEDSIDE PERITONEAL DIALYSIS CATHETER REPOSITIONING - A NOVEL TECHNIQUE

摘要

ABSTRACTS MON-086 SELF REPORTED APPETITE IN THAILAND PDOPPS STUDY ? Tungsanga, K*", Kanjanabuch, Tr ‘Renal devision, Faculty of medicine Chulalongkorn University, Bangkok, Thailand, ?Renal devision, Faculty of medicine, Bangkok, Thailand Introduction: Background: Poor appetite is one of common prob- Jems in peritoneal dialysis (PD). It causes protein-energy malnutrition. Age-related changes in appetite needs to be considered in PD patients. Diminishing appetite is associated with aging and may be aggravated by uremia and PD treatment. We investigated parameters associated with self-reported appetite in Thai PD population. Methods: The Thailand Peritoneal Dialysis Outcomes and Practice Patterns study (Thailand PDOPPS) was a part of global PDOPPS study. Thailand PDOPPS was a local multicenter, randomized trial among 1898 Thai PD patients in 22 hospital nationwide. Three questions obtained from the Appetite and Diet Assessment Tool (ADAT) were the patient’s self assessment of their appetite in 526 cases. The first ADAT question was used 5 point Likert scale: 1= very good 2= good 3= fair 4= poor and 5= very poor. The dynamic second and third forms of appetite was classified into three categories; increase, decrease, and unchanged. Logistic regression analysis was used to assess the association between ADAT scores and patients’ demographics data such as residual renal function (RRF) and quality of life (QoL). Results: Poor appetite was self reported in 15.27% of PD patients. These average age were seen in patients between poor/very poor and very good reported appetite (58.25+13.29 versus 54.33+13.75 years old, p = not significant). Patients with no residual renal function had lower appetite(p<0.001). Older PD patients trended to have a lower appetite compared with younger patients. Of interest, there was also a tendency to correlate QoL with variable level of appetite (p = not significant). Conclusions: Poor appetite is common symptom in Thai PD patients. It is more common among older patients, Whilst poor appetite frequently occurred in elderly, female PD patients, and patients with no residual renal function.