Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Improving survival of octogenarian patients selected for haemodialysis
Autore:
Peri, UN; Fenves, AZ; Middleton, JP;
Indirizzi:
Univ Texas, SW Med Ctr, Dept Internal Med, Div Nephrol, Dallas, TX 75390 USA Univ Texas Dallas TX USA 75390 nal Med, Div Nephrol, Dallas, TX 75390 USA Baylor Med Ctr, Dallas, TX USA Baylor Med Ctr Dallas TX USABaylor Med Ctr, Dallas, TX USA
Titolo Testata:
NEPHROLOGY DIALYSIS TRANSPLANTATION
fascicolo: 11, volume: 16, anno: 2001,
pagine: 2201 - 2206
SICI:
0931-0509(200111)16:11<2201:ISOOPS>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
RENAL REPLACEMENT THERAPY; UREA REDUCTION RATIO; HEMODIALYSIS-PATIENTS; MORTALITY; DIALYSIS; PREDICTORS; LIFE;
Keywords:
dialysis adequacy; dry weight; elderly; haemodialysis; octogenarians; survival;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Middleton, JP Univ Texas, SW Med Ctr, Dept Internal Med, Div Nephrol, 5323Harry Hines Blvd,H5-112, Dallas, TX 75390 USA Univ Texas 5323 Harry Hines Blvd,H5-112 Dallas TX USA 75390
Citazione:
U.N. Peri et al., "Improving survival of octogenarian patients selected for haemodialysis", NEPH DIAL T, 16(11), 2001, pp. 2201-2206

Abstract

Background. The incidence of end-stage renal disease (ESRD) among patientsover the age of 80 has nearly tripled in the last decade, making the 'old-old' the fastest growing ESRD demographic group. Despite this, very little information is available on the characteristics and survival of patients who initiate haemodialysis (HD) after reaching this age. Methods. We performed a retrospective study on all patients who entered anoutpatient HD programme after the age of 80, from January 1988 to September 1998. A total of 106 charts were reviewed from a single nephrology practice group. Eleven patients were excluded due to incomplete data. The survival probability was calculated using the Kaplan-Meier method. Results. The characteristics of 95 patients were as follows: mean age at initiation of dialysis, 83.7 years; female. 50.5%; Caucasian, 40.0%, African-American, 30.0%; Hispanic, 10.0%; Asian, 4.3%, polytetrafluorethylene grafts, 80.0%; primary fistulas, 5.6%; tunnelled catheters, 5.6%; mean established Kt/V, 1.68; urea reduction ratio (URR), 0.74, estimated dry weight (EDW), 60.3 kg. ESRD was attributed to hypertension in 37%, diabetes in 22% andanalgesic use in 8%. The 1-, 2- and 5-year survival probability of the entire group was 82.6 +/- 4.0%, 64.0 +/- 5.6%, and 19.6 +/- 6.0%, respectively. The median survival was 29 months. When comparing survival probability ofpatients who were in the highest quartiles of URR and EDW to those in the lowest quartile there was no discernible difference. However, the 2-year survival probability of patients initiated after January 1. 1995 (76.9 +/- 8.4) was significantly better than those initiated from 1988-1994 (47.8 +/- 6.5, P < 0.05). Conclusions. From analysis of this cohort, we conclude that: (i) elderly patients selected for outpatient HD programmes have substantially better survival than previously reported; (ii) Kt/V does not correlate with survival in this demographic group: and (iii) contemporary dialysis practice is associated with better likelihood of survival of elderly patients in outpatientHD programmes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 22:10:09