Geriatric Depression Scale predicts mortality in elderly patients on chronic hemodialysis.

Autor: Bossola, Maurizio, Pepe, Gilda, Antocicco, Emanuela, Illuminati, Camilla, Di Stasio, Enrico
Předmět:
Zdroj: Therapeutic Apheresis & Dialysis; Dec2023, Vol. 27 Issue 6, p1088-1094, 7p
Abstrakt: Introduction: The aim of this study was to determine if the Geriatric Depression Scale (GDS) was predictor of mortality in elderly patients on chronic hemodialysis (HD). Methods: A total of 140 HD patients ≥65 years were studied. Symptoms of depression were assessed through GDS and cognitive function through the Mini Mental State Examination (MMSE). GDS scores 0–9 are considered normal (Group 1); scores of 10–20 (Group 2) and 21–30 (Group 3) indicate mild and severe depression. Results: Median GDS was 13 (11–15): 54 patients in Group 1, 49 in Group 2, and 37 in Group 3. After a follow‐up of 58.85 ± 38.8 months, 94 patients died and 46 were alive. Kaplan–Meier survival was significantly lower in patients of Groups 2 and 3 than in Group 1 (log‐rank χ2: 101.9; DF: 2; p < 0.0001). According to Cox regression analysis, mortality was associated with age and GDS, and inversely associated with MMSE and Kt/V. Conclusion: GDS predicts mortality in elderly HD patients. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index