Frail Patient in Hemodialysis: A New Challenge in Nephrology—Incidence in Our Area, Barcelonès Nord and Maresme
| Autor: | Domingo Del Castillo, Fredzzia Graterol, Susana Aguerrevere, Jorge Bonal, Josep Bonet, Ioana Bancu, Pilar Fernández-Crespo, Jessica Garcia |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Activities of daily living Article Subject medicine.medical_treatment Population 030232 urology & nephrology lcsh:Geriatrics 03 medical and health sciences 0302 clinical medicine Internal medicine medicine 030212 general & internal medicine education Dialysis education.field_of_study business.industry Incidence (epidemiology) medicine.disease lcsh:RC952-954.6 Physical therapy Population study Hemodialysis Geriatrics and Gerontology business Body mass index Kidney disease Research Article |
| Zdroj: | Journal of Aging Research Journal of Aging Research, Vol 2017 (2017) |
| ISSN: | 2090-2204 |
| DOI: | 10.1155/2017/7624139 |
| Popis: | Introduction. Labeling a patient as “frail” may be useful in assessing the prognosis and therapeutic approach. Objective. The aim of the study is to define a pattern of frailty among our dialysis population, to analyse the incidence and clinical evolution of these patients. Materials and Methods. We analysed a total of 320 patients with stage V chronic kidney disease (CKD) who were on hemodialysis between September 2014 and September 2015. To define a patient as frail we used the Fried phenotype model, and we added a new criteria-dialysis session length longer than 12 hours/week. Results. 5.6% of the 320 patients were frail. We found statistically significant differences regarding body mass index (BMI), hemoglobin (Hgb), and serum albumin, as well as the ability to perform the basic activities of daily living (p<0.005), ability to ambulate (p=0.01) and perform transfers (p<0.005). We found statistically significant differences between the two groups in terms of hospital admissions (p=0.005) and mortality (p<0.005). Conclusion. 5.6% of the study population were frail, with lower BMI, serum albumin and hemoglobin, lower capacity for basic activities of daily living, ambulation, and transference, as well as higher morbidity and mortality. |
| Databáze: | OpenAIRE |
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