WCN25-441 THE IMPACT OF SIX MONTHS OF UNIVERSAL HEALTH COVERAGE ON HEALTH OUTCOMES OF PATIENTS ON MAINTENANCE HAEMODIALYSIS: A MULTICENTRIC STUDY

artery disease and COPD) were recorded.Independent t-tests compared averages for age and duration of dialysis, while Chi-square tests compared percentages for other parameters.Structured nutritional education was provided by a qualified nutritionist, and patients were followed for 9 months.Education included audio-visual education every 30 days, with availability for interim clarifications.The program emphasized managing phosphate and potassium levels and strategies to increase protein intake.At the end of the 9-month period, SGA scores were recalculated and compared between the two groups.Results: Older age and higher prevalence of comorbid conditions like diabetes and COPD were the influencers significantly associated with worse nutritional status.Gender distribution, duration of dialysis, dialysis frequency, and other comorbidities did not significantly influence SGA score categorization.Changes in SGA scores after 9 months were considered As same if score was AE 1 from initial score.As improved if score $ 2 from initial score And as deteriorated if score # 2 from initial score and classified into two groups: a) stayed within the group, b) shifted to the moderate group Following 9 months of structured nutritional education: Mild Group: 52% maintained SGA scores 22% improved, mean score change of 2.35 (range 2-4) 15.63% deteriorated within mild range, mean change of 2.5 (range 2-5) 10.37% shifted to moderate range, mean change of 5.7 (range 3-7), but only 2 points above the midrange in each case Moderate Group: 16.67% maintained scores 83.3% improved, mean score change of 9.15 (range 5-16), all shifting to mild range Patients deteriorating or lacking improvement had frequent admissions due to intercurrent illnesses.Conclusions: The elderly, and patients with type 2 diabetes mellitus and COPD and those with > 2 comorbidities significantly affected SGA score categorization.SGA scores improve with structured nutritional education but intercurrent illnesses prevent improvement and may worsen SGA scores.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.