Comparison of young and old patients on peritoneal dialysis: A retrospective observational study.

IF 1.4 4区医学 Q3 UROLOGY & NEPHROLOGY

Seminars in Dialysis Pub Date : 2024-03-01 Epub Date: 2023-09-21 DOI:10.1111/sdi.13180

Erdem Çankaya, Murat Altunok

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引用次数: 0

Abstract

Background: With a global increase in life expectancy around the world, the burden of chronic kidney disease in the elderly is increasing. The number of elderly patients undergoing peritoneal dialysis (PD) is also increasing. There is still a perception that PD may be associated with an increased risk of complications in these elderly patients.

Methods: A total of 311 patients, of which 103 PD patients aged 65 and over and 208 PD patients under 65 years of age, were followed in a single center and evaluated, retrospectively. Demographic data of these patients, albumin values at first PD and during PD time, residual urine amount, number of peritonitis, time to the first peritonitis attack, PD endpoints, and mortality were compared.

Results: Peritonitis and technique failure rates were lower in patients aged 65 and over who applied PD (0.61-0.75, 6.8%-23.1%, respectively). There was no difference in peritonitis-free survival (p = 0.931). Need for help HR 2.569 [95%CI 1.564-4.219] (p < 0.05), time to first peritonitis attack HR 0.983 [95%CI 0.974-0.992] (p < 0.05), mean albumin value HR 0.191 [95%CI 0.088-0.413] (p < 0.05), urine output level HR 1.154 [95%CI 1.010-1.318] (p < 0.05) were factors affecting mortality.

Conclusion: Peritonitis and technical survival evaluations of elderly PD patients, other than mortality, were lower than younger PD patients. However, the need for help is one of the biggest obstacles to this method for the elderly. We believe that incentives in this regard will increase the number of elderly PD patients.

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年轻和老年腹膜透析患者的比较：一项回顾性观察研究。

背景：随着全球预期寿命的提高，老年人慢性肾脏疾病的负担也在增加。接受腹膜透析（PD）的老年患者人数也在增加。仍然有一种观点认为，帕金森病可能与这些老年患者并发症风险的增加有关。方法：共有311名患者，其中103名65岁及以上的PD患者和208名65岁以下的PD患者年，在一个中心进行随访并进行回顾性评估。比较这些患者的人口学数据、首次腹膜透析时和腹膜透析期间的白蛋白值、残余尿量、腹膜炎次数、首次腹膜炎发作时间、腹膜透析终点和死亡率。结果：65岁及以上应用PD的患者腹膜炎和技术失败率较低（分别为0.61-0.75、6.8%-23.1%）。无腹膜炎生存率无差异（p = 0.931）。需要帮助HR 2.569[95%CI 1.564-4.219]（p 结论：除死亡率外，老年帕金森病患者的腹膜炎和技术生存评估均低于年轻帕金森病患者。然而，需要帮助是老年人使用这种方法的最大障碍之一。我们相信，这方面的激励措施将增加老年帕金森病患者的数量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Dialysis 医学-泌尿学与肾脏学

CiteScore

3.00

自引率

6.20%

发文量

审稿时长

4-8 weeks

期刊介绍： Seminars in Dialysis is a bimonthly publication focusing exclusively on cutting-edge clinical aspects of dialysis therapy. Besides publishing papers by the most respected names in the field of dialysis, the Journal has unique useful features, all designed to keep you current: -Fellows Forum -Dialysis rounds -Editorials -Opinions -Briefly noted -Summary and Comment -Guest Edited Issues -Special Articles Virtually everything you read in Seminars in Dialysis is written or solicited by the editors after choosing the most effective of nine different editorial styles and formats. They know that facts, speculations, ''how-to-do-it'' information, opinions, and news reports all play important roles in your education and the patient care you provide. Alternate issues of the journal are guest edited and focus on a single clinical topic in dialysis.