Hemodialysis elderly patients: Factors affecting survival

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“We describe circumstances of dialysis initiation, dialysis prescription and factors affecting survival in elderly patients.” Gubensek et al (2014)

Reference:

Gubensek, J., Ponikvar, R., Ekart, R. and Buturovic-Ponikvar, J. (2014) Very Old Patients on Hemodialysis: How They Start and Can We Predict Survival? Blood Purification. 38(1), p.74-79.

Abstract:

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 µmol/l, eGFR 7.3 ± 3.7 ml/min/1.73 m2, 81% started dialysis in hospital and 78% with a catheter. 32% had

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.

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