Table 4 Trends in nutrition management and physical and mental functions
Hospital day | Admission | On day 7 | On day 15 | On day 29 | On day 42 | On day 64 | On day 78 | On day 92 | Discharge | |
|---|---|---|---|---|---|---|---|---|---|---|
On day 108 | ||||||||||
Nutrition management | Nutrition route | NG | NG and oral nutrition | Oral nutrition | ||||||
Nutrition menu | Nutrient for renal failure | Nutrient for renal failure + Pureed | Nutrient for renal failure + Pureed | Pureed + ONS | Rice porridge and soft food + ONS | Diet for dialysis (soft and bite-sized) | Diet for dialysis (soft and bite-sized) | Diet for dialysis | Diet for dialysis | |
Energy (kcal) | 1200 | 1500 + 300 | 1500 + 300 | 1400 + 300 | 1400 + 300 | 1800 | 1800 | 2000 | 2000 | |
Protein (g) | 42.0 | 53.2 | 53.2 | 66.7 | 66.7 | 60.0 | 60.0 | 65.0 | 65.0 | |
Nutrition index | GNRI | 63 | – | – | 70 | – | 75 | – | 77 | 79 |
MNA-SF (point) | 1 | – | – | – | – | – | – | – | 10 | |
nPCR (g/kg/day) | 0.5 | – | – | 0.69 | – | 0.8 | – | 0.86 | 0.89 | |
%CGR | 71 | – | – | 76 | – | 87 | – | 95 | 95 | |
Biochemical examination | Albumin (g/dL) | 2.1 | – | 2.3 | 2.6 | 2.9 | 2.9 | 2.9 | 3.0 | 3.1 |
CRP (mg/dL) | 0.22 | – | – | 0.30 | – | 0.24 | – | 0.20 | 0.26 | |
Potassium (mg/dL) | 3.5 | – | 3.8 | 4.1 | 4.2 | 4.5 | 4.8 | 4.7 | 5.0 | |
Phosphorus (mg/dL) | 3.3 | – | 3.6 | 4.2 | 4.0 | 4.5 | 4.9 | 4.8 | 5.1 | |
Sodium (mEq/L) | 140 | – | 141 | 140 | 140 | 139 | 140 | 142 | 140 | |
Blood urea nitrogen (mg/dL) | 41.6 | – | 42.8 | 43.9 | 49.8 | 57.5 | 62.5 | 62.2 | 70.5 | |
Creatinine (mg/dL) | 7.38 | – | 7.41 | 7.51 | 8.30 | 8.45 | 8.55 | 9.22 | 9.50 | |
Cardiothoracic ratio (%) | 56.8 | – | – | 51.5 | – | 50.5 | – | 51.5 | – | |
Physical assessment | FIM (point) | 58 | – | – | – | – | 82 | – | 115 | – |
Grip strength; right (kg) | 15 | – | – | 15 | – | 16 | – | 18 | – | |
Grip strength; left (kg) | 18 | – | – | 17 | – | 18 | – | 20 | – | |
FILS | 3 | – | – | 4 | – | 7 | 9 | 10 | – | |
Dry weight (kg) | 46.5 | 46.0 | 45.8 | – | 46.0 | 46.5 | – | 47.0 | 47.5 | |
CC (cm) | 28.0 | – | – | 28.2 | 28.4 | – | – | 28.8 | 29.1 | |