Geriatric nephrology and urology最新文献_第9页

Differences in older versus younger hemodialysis patients' noncompliance with oral medications. 老年和年轻血液透析患者不遵守口服药物的差异。

Geriatric nephrology and urology Pub Date : 1997-01-01 DOI: 10.1023/a:1008267104024

R B Curtin, B L Svarstad, D Andress, T Keller, P Sacksteder

{"title":"Differences in older versus younger hemodialysis patients' noncompliance with oral medications.","authors":"R B Curtin, B L Svarstad, D Andress, T Keller, P Sacksteder","doi":"10.1023/a:1008267104024","DOIUrl":"https://doi.org/10.1023/a:1008267104024","url":null,"abstract":"Hemodialysis patients' compliance with their therapeutic regimens, including dietary and fluid restrictions, dialysis treatments and medications, is generally suboptimal. Recently, the mean age of the dialysis population has increased. Since impaired cognitive function, which sometimes accompanies aging, interferes with the ability to comprehend instructions, elderly dialysis patients might be at greater risk for noncompliance than are their younger counterparts. In this project, 135 hemodialysis patients (68 patients > 65 years of age and 67 patients < or = 65 years) were studied. Rates of noncompliance with oral antihypertensives and phosphate binders, as tracked by a medication event monitoring system (MEMS), are reported here. More than 42% of older patients (> 65) and 47% of younger patients (< or = 65) were repeated noncompliers with antihypertensives, missing at least 20% of the prescribed doses. Similarly, 65% of older patients and 80% of younger patients exhibited repeated noncompliance with phosphate binders. Almost 30% of older patients and more than 32% of younger patients missed their antihypertensives completely on 20% or more of the prescribed days. Only 18% of the older subjects, but 33% of younger patients missed taking their phosphate binders for 20 or more percent of the prescribed days. Rates of noncompliance were found to differ between the two populations of patients in that younger patients made significantly more dosing errors with their antihypertensives and missed taking their phosphate binders on more days than did their older counterparts.","PeriodicalId":79490,"journal":{"name":"Geriatric nephrology and urology","volume":"7 1","pages":"35-44"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1023/a:1008267104024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 54

Evaluation of plasma osmolality and hormone responses in elderly chronic hemodialysis patients with excessive interdialytic weight gain. 老年慢性血液透析患者过度透析间期体重增加的血浆渗透压和激素反应的评价。

Geriatric nephrology and urology Pub Date : 1997-01-01 DOI: 10.1023/a:1008294601458

R Samuel-Variath, R Chan, M F Michelis

{"title":"Evaluation of plasma osmolality and hormone responses in elderly chronic hemodialysis patients with excessive interdialytic weight gain.","authors":"R Samuel-Variath, R Chan, M F Michelis","doi":"10.1023/a:1008294601458","DOIUrl":"https://doi.org/10.1023/a:1008294601458","url":null,"abstract":"Elderly patients may exhibit changes in plasma hormone levels, as well as thirst disorders. Two groups of elderly hemodialysis patients were evaluated to determine if excessive interdialytic weight gain was related to differences in postdialysis plasma osmolality or postdialysis measurement of plasma renin activity, or plasma levels of angiotensin II (a dipsogenic hormone), aldosterone, and vasopressin. Patients mean age was 77.0 +/- 8.8 years and patients were divided into groups, I and II, with less than or greater than 2 kg interdialytic weight gain. Postdialysis plasma osmolality was similar in both groups of patients (309.3 +/- 2.3 vs. 309.6 +/- 2.4 mOsm/Kg, p = 0.8) and postdialysis AVP levels also were no different (2.7 +/- 0.6 vs. 2.1 +/- 0.2 pg/mL, p = 0.3). There was also no statistical difference between postdialysis angiotensin II and aldosterone levels in either group of patients. Plasma renin activity (PRA) was also not different in either group (2.3 +/- 1.1 vs. 0.43 +/- 0.1 ng/mL/hr, p = 0.1), but group I patients, with less than 2 kg weight gain, tended to exhibit higher PRA values perhaps reflecting proximity to their dry weight postdialysis. Since excessive fluid intake did not appear to relate to plasma osmolality and hormone levels studied, it might be suggested that excessive drinking could be due to excessive sodium intake associated with personal dietary habits or perhaps other as yet unmeasured factors.","PeriodicalId":79490,"journal":{"name":"Geriatric nephrology and urology","volume":"7 3","pages":"131-5"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1023/a:1008294601458","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20417442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Nutrients and trace elements as they affect blood pressure in the elderly 营养素和微量元素对老年人血压的影响

Geriatric nephrology and urology Pub Date : 1997-01-01 DOI: 10.1007/BF00249633

Harry G. Preuss, S. Jarrell, N. Bushehri, Victor Onyejiaka, N. Mirdamadi-Zonozi

引用次数: 9

Renal sodium transport in healthy elderly and elderly with systolic hypertension 健康老年人和老年收缩期高血压患者肾脏钠转运的研究

Geriatric nephrology and urology Pub Date : 1996-01-01 DOI: 10.1007/BF00451972

Huamin Wang, Ming-Zi Zhang, Haiyan Wang

引用次数: 1

Peritoneal dialysis in the nineth decade of life experience in a single center 腹膜透析在第九个十年的生活经验单一中心

Geriatric nephrology and urology Pub Date : 1996-01-01 DOI: 10.1007/BF00451110

A. Vecchi, M. Maccario, C. Ponticelli

引用次数: 6

Rehabilitation of the elderly patient on dialysis 老年透析患者的康复

Geriatric nephrology and urology Pub Date : 1996-01-01 DOI: 10.1007/BF00451111

N. Kutner

引用次数: 6

Renovascular hypertension in the elderly: Results of surgical management 老年肾血管性高血压:手术治疗的结果

Geriatric nephrology and urology Pub Date : 1996-01-01 DOI: 10.1007/BF00451971

K. Hansen, M. Benjamin, R. G. Appel, T. Craven, R. Dean

引用次数: 10

Lisinopril has no natriuretic effect in elderly: A study of the single-dose response in aged vs young individuals 赖诺普利在老年人中没有利钠作用:老年人与年轻人单剂量反应的研究

Geriatric nephrology and urology Pub Date : 1996-01-01 DOI: 10.1007/BF00451109

D. Chevet, J. Mallié, C. Jeandel

引用次数: 0

Clinical physiology — pharmacology: multifactorial hypocalcemia in an elderly patient with myeloproliferative disorder 临床生理学-药理学:1例老年骨髓增生性疾病患者多因素低钙血症

Geriatric nephrology and urology Pub Date : 1996-01-01 DOI: 10.1007/BF00451115

D. Maggio, A. Cherubim, U. Senin, D. Lowenthal

引用次数: 0

Exercise training in older men and women: Effects on cardiovascular and renal function 老年男性和女性的运动训练:对心血管和肾功能的影响

Geriatric nephrology and urology Pub Date : 1996-01-01 DOI: 10.1007/BF00451974

J. Jessup, D. Lowenthal, M. Pollock, K. Smyth, L. Williams, J. Ruiz, M. Fagien, L. Garzarella

引用次数: 4