Evidence map›Paper›PMID 39610112›Full record

ArticleMedical science monitor : international medical journal of experimental and clinical research2024

Effects of Nutritional Protocol Changes on Hemodialysis Adequacy and Patient Health During the COVID-19 Pandemic.

Cebrail Karaca, Safak Mirioglu, Aydan Mutis Alan, Saadet Usakli, Beyza Nur Aydin Keskin, Mehmet Erdem, Ahmet Murt, Mevlut Tamer Dincer, Nurhan Seyahi, Sinan Trabulus

Abstract read
In one paragraph

Article in Medical science monitor : international medical journal of experimental and clinical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Cebrail KaracaDivision of Nephrology, Department of Internal Medicine, Van Yuzuncu Yil University Faculty of Medicine, Van, Turkey.ORCID 0000-0003-0969-7708
Safak MiriogluDivision of Nephrology, Department of Internal Medicine, Bezmialem Vakif University School of Medicine, Istanbul, Turkey.ORCID 0000-0003-0362-8154
Aydan Mutis AlanDivision of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University - Cerrahpasa, Istanbul, Turkey.ORCID 0000-0001-7701-3713
Saadet UsakliDepartment of Internal Medicine, Van Yuzuncu Yil University Faculty of Medicine, Van, Turkey.ORCID 0009-0005-5368-9993
Beyza Nur Aydin KeskinDepartment of Internal Medicine, Van Yuzuncu Yil University Faculty of Medicine, Van, Turkey.ORCID 0009-0007-2257-7213
Mehmet ErdemDepartment of Internal Medicine, Van Yuzuncu Yil University Faculty of Medicine, Van, Turkey.ORCID 0000-0001-5439-9473
Ahmet MurtDivision of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University - Cerrahpasa, Istanbul, Turkey.ORCID 0000-0002-1948-2914
Mevlut Tamer DincerDivision of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University - Cerrahpasa, Istanbul, Turkey.ORCID 0000-0002-5397-7697
Nurhan SeyahiDivision of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University - Cerrahpasa, Istanbul, Turkey.ORCID 0000-0001-7427-618X
Sinan TrabulusDivision of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University - Cerrahpasa, Istanbul, Turkey.ORCID 0000-0003-3843-5950

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND During the COVID-19 pandemic, strict feeding restrictions were implemented in many dialysis centers to minimize transmission between patients. This study aims to evaluate the effects of these feeding restrictions on dry weight, intradialytic hypotension (IDH), and dialysis adequacy in hemodialysis patients. MATERIAL AND METHODS In this retrospective single-center study involving 76 hemodialysis patients, data from 2 consecutive 6-month periods were analyzed: the first before the COVID-19 pandemic when intradialytic nutrition was supported, and the second during the pandemic when intradialytic nutrition was restricted. Data from the patients' monthly visits during both periods were evaluated, averages were recorded, and a comparison was made between the 2 periods. RESULTS The frequency of IDH was significantly higher during the feeding period compared with the no-feeding period (1.4±1.2/month vs 0.81±0.86/month, P=0.01). Conversely, the urea reduction ratio was greater in the no-feeding period [72.5% (69-76) vs 71% (68-75), P=0.01], as were the single-pool Kt/V values (1.59±0.23 vs 1.52±0.26, P=0.004) and ultrafiltration rates (mL/h/kg) (11.4±3.0 vs 10.4±3.2, P=0.01). However, the dry weight of the patients was similar in the 2 periods (65.4±13.7 kg vs 65.7±14.2 kg, P=0.62). CONCLUSIONS During the COVID-19 pandemic, mandatory feeding restrictions for hemodialysis patients, aimed at reducing transmission, were linked to a decrease in IDH frequency and improved dialysis adequacy. However, no significant reduction in patients' dry weights was observed.

Indexed as

COVID-19Renal DialysisAgedFemaleHumansHypotensionKidney Failure, ChronicMaleMiddle AgedNutritional StatusPandemicsRetrospective StudiesSARS-CoV-2

Identifiers

PMID39610112
PMCPMC11613781

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.