Peripheral artery disease is associated with frailty in chronic hemodialysis patients

Autor: Hitoshi Sugiyama, Yuka Okuyama, Shingo Kasahara, Hidemi Takeuchi, Michihiro Okuyama, Hiromi Rakugi, Ken Sugimoto, Kentaro Wada, Yuki Kakio, Ryoko Umebayashi, Jun Wada, Haruhito A. Uchida
Rok vydání: 2018
Předmět:
Male
medicine.medical_specialty
Cross-sectional study
Frail Elderly
medicine.medical_treatment
Myocardial Infarction
Disease
030204 cardiovascular system & hematology
Peripheral Arterial Disease
03 medical and health sciences
0302 clinical medicine
Japan
Renal Dialysis
Risk Factors
Internal medicine
Odds Ratio
Prevalence
Humans
Medicine
Ankle Brachial Index
Radiology
Nuclear Medicine and imaging
030212 general & internal medicine
Myocardial infarction
Renal Insufficiency
Chronic
Aged
Aged
80 and over
Chi-Square Distribution
Frailty
business.industry
General Medicine
Odds ratio
Middle Aged
Prognosis
medicine.disease
Confidence interval
Cross-Sectional Studies
Logistic Models
Phenotype
medicine.anatomical_structure
Multivariate Analysis
Female
Surgery
Hemodialysis
Cardiology and Cardiovascular Medicine
business
Chi-squared distribution
Artery
Zdroj: Vascular. 26:425-431
ISSN: 1708-539X
1708-5381
DOI: 10.1177/1708538118756690
Popis: ObjectivesThe clinical condition of frailty is a common problem in the elderly population. However, the relationship between peripheral artery disease and frailty in hemodialysis patients remains unknown. The aim of this study was to identify the relationships between peripheral artery disease and frailty in Japanese chronic hemodialysis patients.MethodsA total of 362 chronic hemodialysis patients who regularly visited six institutions were enrolled. To evaluate frailty, the modified Fried’s frailty phenotype adjusted for Japanese were used. Peripheral artery disease was defined as ankle-brachial index ResultsOf 362 patients, 62 patients (17.1%) were categorized as peripheral artery disease group and 300 patients (82.9%) as Non-peripheral artery disease group. The prevalence of frailty in the peripheral artery disease group was significantly higher than in the Non-peripheral artery disease group (34% vs. 18%, P = 0.0103). Non-shunt side grip strength was significantly stronger in the Non-peripheral artery disease group (23.6 kg vs. 17.0 kg, P ConclusionsIt is concluded that peripheral artery disease is closely associated with frailty in hemodialysis patients.
Databáze: OpenAIRE
Externí odkaz: