Very Old Patients on Hemodialysis: How They Start and Can We Predict Survival?

被引：4

作者：

Gubensek, Jakob ^{[1
]}

Ponikvar, Rafael ^{[1
]}

Ekart, Robert ^{[2
]}

Buturovic-Ponikvar, Jadranka ^{[1
]}

机构：

[1] Univ Med Ctr Ljubljana, Dept Nephrol, SI-1000 Ljubljana, Slovenia

[2] Univ Med Ctr Maribor, Dept Dialysis, Clin Internal Med, Maribor, Slovenia

来源：

BLOOD PURIFICATION | 2014年 / 38卷 / 01期

关键词：

Dialysis prescription; Elderly patients; Hemodialysis; Outcomes; Registry; Vascular access; STAGE RENAL-DISEASE; ELDERLY-PATIENTS; REPLACEMENT THERAPY; DIALYSIS OUTCOMES; PRACTICE PATTERNS; UNITED-STATES; MANAGEMENT; INITIATION; MORTALITY;

D O I：

10.1159/000367681

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: We describe circumstances of dialysis initiation, dialysis prescription and factors affecting survival in elderly patients. Methods: We included all incident patients >= 80 years old from a National Registry for which clinical and laboratory data at dialysis initiation could retrospectively be obtained. Results: Of 170 patients included, 24% had diabetes, 30% ischemic heart disease, 13% peripheral arterial disease, 15% active malignancy and 60% prior nephrology care. Mean creatinine was 672 +/- 225 mu mol/l, eGFR 7.3 +/- 3.7 ml/min/1.73 m(2), 81% started dialysis in hospital and 78% with a catheter. 32% had <2 sessions/week and 29% had single-needle dialysis. One-year survival was 74% (median 26 months). In multivariate analysis only age (HR 1.10) and prior nephrology care (HR 0.48) were significant predictors of survival. Conclusions: The majority of elderly patients started dialysis with a catheter and in hospital setting. We estimate observed survival as good. Only age and prior nephrology care were independent predictors of survival. Video Journal Club 'Cappuccino with Claudio Ronco' at www.karger.com/?doi=367681. (C) 2014 S. Karger AG, Basel

引用

页码：74 / 79

页数：6

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