Hemodialysis in the Elderly
Identifieur interne : 001454 ( Istex/Curation ); précédent : 001453; suivant : 001455Hemodialysis in the Elderly
Auteurs : S. Christopoulou [Grèce]Source :
- Hemodialysis International [ 1492-7535 ] ; 2004-01.
Abstract
During the last decade, the number of patients starting renal replacement therapy has increased for all ages, but the increase for patients over 65 years old has been particularly dramatic. Objective: The aim of our study was the analysis of the outcome of all the patients who were over 65 years of age at the time they started chronic hemodialysis, in our Center (n, 52). Methods: A total of 76 patients were treated by the chronic hemodialysis program of 251 Hellenic Air Force and VA General Hospital, between 1992 and 2002, while totally 309 patients were offered dialysis at this time. We found that 52 of them (68.4%) were over 65 years old [40 male (76.9%), 12 female (23.1%)]. Results: Elderly patients manifest more often intradialytic complications, such as hypotensive episodes (28.8%) and arrhythmias (23.1%), due to their hemodynamic instability. Polypharmacy is a big deal for dialysis patients, especially elderly ones. Each patient was taking 9.1 PO and 1.9 IV medications on average, per day. Most of them (84.6%) required recombinant human erythropoietin. The most common co‐morbid factors we observed in this population were cardiovascular diseases (36.5%), neurological problems, respiratory failure, bone disease, malignancy (17.3%), depression, malnutrition, and infections (30.8%). Deaths were often associated with more than one morbid factors. Survival and the quality of life in the elderly patients on hemodialysis are frequently acceptable. The 1, 3 and 5‐year patient survival rates during 1990–2000 were 63.4%, 56.1%, and 26.8%. Conclusion: We believe that if there are no extracontraindications, elderly patients can benefit from hemodialysis, taking into consideration that we should adapt the therapy to the geriatric special needs.
Url:
DOI: 10.1111/j.1492-7535.2004.0085bv.x
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: Pour aller vers cette notice dans l'étape Curation :001454
Links to Exploration step
ISTEX:D4810B7776FD4937C88D0F45EDE2FA42765D6F46Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Hemodialysis in the Elderly</title>
<author><name sortKey="Christopoulou, S" sort="Christopoulou, S" uniqKey="Christopoulou S" first="S." last="Christopoulou">S. Christopoulou</name>
<affiliation wicri:level="1"><mods:affiliation>A. Petropoulou. 251 Hellenic Air Force and VA General Hospital, Athens, Greece.</mods:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>A. Petropoulou. 251 Hellenic Air Force and VA General Hospital, Athens</wicri:regionArea>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:D4810B7776FD4937C88D0F45EDE2FA42765D6F46</idno>
<date when="2004" year="2004">2004</date>
<idno type="doi">10.1111/j.1492-7535.2004.0085bv.x</idno>
<idno type="url">https://api.istex.fr/ark:/67375/WNG-5MHRZ8RQ-L/fulltext.pdf</idno>
<idno type="wicri:Area/Istex/Corpus">001454</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001454</idno>
<idno type="wicri:Area/Istex/Curation">001454</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a" type="main">Hemodialysis in the Elderly</title>
<author><name sortKey="Christopoulou, S" sort="Christopoulou, S" uniqKey="Christopoulou S" first="S." last="Christopoulou">S. Christopoulou</name>
<affiliation wicri:level="1"><mods:affiliation>A. Petropoulou. 251 Hellenic Air Force and VA General Hospital, Athens, Greece.</mods:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>A. Petropoulou. 251 Hellenic Air Force and VA General Hospital, Athens</wicri:regionArea>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j" type="main">Hemodialysis International</title>
<title level="j" type="alt">HEMODIALYSIS INTERNATIONAL</title>
<idno type="ISSN">1492-7535</idno>
<idno type="eISSN">1542-4758</idno>
<imprint><biblScope unit="vol">8</biblScope>
<biblScope unit="issue">1</biblScope>
<biblScope unit="page" from="106">106</biblScope>
<biblScope unit="page" to="106">106</biblScope>
<biblScope unit="page-count">100</biblScope>
<publisher>Blackwell Science Inc</publisher>
<pubPlace>Oxford, UK; Malden, USA</pubPlace>
<date type="published" when="2004-01">2004-01</date>
</imprint>
<idno type="ISSN">1492-7535</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">1492-7535</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">During the last decade, the number of patients starting renal replacement therapy has increased for all ages, but the increase for patients over 65 years old has been particularly dramatic. Objective: The aim of our study was the analysis of the outcome of all the patients who were over 65 years of age at the time they started chronic hemodialysis, in our Center (n, 52). Methods: A total of 76 patients were treated by the chronic hemodialysis program of 251 Hellenic Air Force and VA General Hospital, between 1992 and 2002, while totally 309 patients were offered dialysis at this time. We found that 52 of them (68.4%) were over 65 years old [40 male (76.9%), 12 female (23.1%)]. Results: Elderly patients manifest more often intradialytic complications, such as hypotensive episodes (28.8%) and arrhythmias (23.1%), due to their hemodynamic instability. Polypharmacy is a big deal for dialysis patients, especially elderly ones. Each patient was taking 9.1 PO and 1.9 IV medications on average, per day. Most of them (84.6%) required recombinant human erythropoietin. The most common co‐morbid factors we observed in this population were cardiovascular diseases (36.5%), neurological problems, respiratory failure, bone disease, malignancy (17.3%), depression, malnutrition, and infections (30.8%). Deaths were often associated with more than one morbid factors. Survival and the quality of life in the elderly patients on hemodialysis are frequently acceptable. The 1, 3 and 5‐year patient survival rates during 1990–2000 were 63.4%, 56.1%, and 26.8%. Conclusion: We believe that if there are no extracontraindications, elderly patients can benefit from hemodialysis, taking into consideration that we should adapt the therapy to the geriatric special needs.</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/SrasV1/Data/Istex/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001454 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Curation/biblio.hfd -nk 001454 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Sante |area= SrasV1 |flux= Istex |étape= Curation |type= RBID |clé= ISTEX:D4810B7776FD4937C88D0F45EDE2FA42765D6F46 |texte= Hemodialysis in the Elderly }}
![]() | This area was generated with Dilib version V0.6.33. | ![]() |