Table 1:

Nutritional, physical and psychological evaluations and interventions conducted in routine clinical practice at our hospital.

Patient color coding
Nutritional
Instrument
MIS	0–5	6–8	≥9
SGA	A	B	C
PEW	No	Yes/No	Yes
Interventiona	Diet diaryb	Diet diaryb	Diet diaryb
		Enrichmentc	Enrichmentc
			Oral nutritional supplementsd
			IDPNe
Evaluation	After 1 year	Every 6–9 months	Every 3–6 months
Physical
Instrument
SPPB	>10	8–10	<8
DFRI	Low risk of falls	Medium risk of falls	High risk of falls
BADL	Autonomous	Moderate dependency	Strong dependency
Intervention	General recommendations for activity	IPE	Intradialytic strength training
	HBE, IPE	Strength training (supervised or at home)	Interdialytic training in gym
	Monitored for risk of falls and dependency	General recommendations for physical activity	Bed safety measures (position, rails)
		Transferring to bed supervised	Close nurse supervision
		Advise adequate shoes	All transfers supervised
		Measures to avoid orthostatic hypotension	Home adaptation
			Evaluate orthopedic dynamic measures (also at home)
Psychological
Cognitive
Instrument
SPMSQ	0–3	4–7	8–10
IADL	Autonomous	Moderate dependency	Strong dependency
Intervention	Monitoring	Neuropsychology	Derivation to neurologist
		Evaluate neurocognitive stimulation	Information about Alzheimer Foundation
Evaluation	Yearly	Every 3–6 months	At neurologist's criteria
Emotional
Instrument
EED	0–3	4–7	8–10
Intervention	Monitoring	In-depth psychopathological interview	In-depth psychopathological interview
		Group therapy	Evaluate HADS
			Evaluate derivation to psychiatrist
Evaluation	Yearly	Every 3 months	Monthly

^aPatients with correct nutritional test results underwent no intervention, but nurses and nutritionists monitored any developing changes periodically.

^bDiet diary: registry of all foods for a 3-day period (no dialysis day, dialysis day, holiday) in a prespecified form.

^cRecommendations to enrich the diet (personalized by nutritionist).

^dNutritionally complete preparations of one or more nutrients specifically adapted to the needs of ESKD patients.

^eIDPN was administered during regularly scheduled dialysis sessions as a supplement (commonly three times per week), and requires patients to obtain some of their nutrients orally outside of dialysis time.

HADS, Hospital Anxiety and Depression Scale; PEW, protein-energy wasting; SGA, Subjective Global Assessment.