Peritoneal dialysis in patients over 65 tears. A Good therapeutic choice
Introduction: Some authors say that patients over 65 years of age reject PD as a dialytic option. Objetives: To analyze dialytic effectiveness in patients >=65 years old on PD. Material and Methods: From 1/2011 to 1/2015, 27 patients over 65 years were studied. 19 males and 8 females, age 74.6 ye...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Spanish |
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Asociación Regional de Diálisis y Trasplantes Renales de Capital Federal y Provincia de Buenos Aires
2017-04-01
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| Series: | Revista de Nefrología, Diálisis y Trasplante |
| Subjects: | |
| Online Access: | http://www.revistarenal.org.ar/index.php/rndt/article/view/22 |
| _version_ | 1828804189389586432 |
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| author | Gabriela González Miguel Angel Nadal Valeria Patronelli Alejandra Copa Abigail Gubergrit |
| author_facet | Gabriela González Miguel Angel Nadal Valeria Patronelli Alejandra Copa Abigail Gubergrit |
| author_sort | Gabriela González |
| collection | DOAJ |
| description | Introduction: Some authors say that patients over 65 years of age reject PD as a dialytic option. Objetives: To analyze dialytic effectiveness in patients >=65 years old on PD. Material and Methods: From 1/2011 to 1/2015, 27 patients over 65 years were studied. 19 males and 8 females, age 74.6 years (65-87), period of time on PD : 42.9 (5-55) months. 14 CAPD and 13 APD. Clinical indicators, peritonitis rate, total dropout because of peritonitis and death, nursing requirements and quality of life. Results: 9 (33%) required nursing. 13 had peritonitis (48%), 7 had only one episode that did not cause morbility and 6 dropped out from PD due to peritonitis. Peritonitis episodes 1/50 mp. 11 patients dropped out (40.7%), 4 because of peritonitis. 2 patients died due to peritonitis, 4 were transferred to HD and 1 recovered renal function. Clinical indicators: Kt/v>=1.7, 85% and 78%; Serum P p<= 5.5 mg/dl 85% CAPD and 70% APD respectively; calcemia >= 8.5 mg/dl 87%, HB<= 10g/dl 81% PTH between 150 and 400 pg/ml 67 % and plasma albumin >= 3.5 g/dl 78% for both therapies. Technique survival: 62%, 55%, 40%, and 25% in 12, 24, 36 and 48 months respectively. Longer training time, lesser skill, more respiratory infections and cardiovascular complications were observed. Conclusions: ?Third age patients? demand a multidisciplinary treatment. PD is an advantageous therapy in patients suffering from cardiovascular diseases and difficulties to achieve a vascular access. Complications associated to PD do not differ from those applied to younger patients. |
| first_indexed | 2024-12-12T07:36:44Z |
| format | Article |
| id | doaj.art-c3cdec4e7d7f4555a078a8721d8291aa |
| institution | Directory Open Access Journal |
| issn | 0326-3428 2346-8548 |
| language | Spanish |
| last_indexed | 2024-12-12T07:36:44Z |
| publishDate | 2017-04-01 |
| publisher | Asociación Regional de Diálisis y Trasplantes Renales de Capital Federal y Provincia de Buenos Aires |
| record_format | Article |
| series | Revista de Nefrología, Diálisis y Trasplante |
| spelling | doaj.art-c3cdec4e7d7f4555a078a8721d8291aa2022-12-22T00:32:54ZspaAsociación Regional de Diálisis y Trasplantes Renales de Capital Federal y Provincia de Buenos AiresRevista de Nefrología, Diálisis y Trasplante0326-34282346-85482017-04-01352707522Peritoneal dialysis in patients over 65 tears. A Good therapeutic choiceGabriela González0Miguel Angel Nadal1Valeria Patronelli2Alejandra Copa3Abigail Gubergrit4Centro Integral de Nefrología DAOMI, Buenos AiresCentro Integral de Nefrología DAOMI, Buenos AiresCentro Integral de Nefrología DAOMI, Buenos AiresCentro Integral de Nefrología DAOMI, Buenos AiresCentro Integral de Nefrología DAOMI, Buenos AiresIntroduction: Some authors say that patients over 65 years of age reject PD as a dialytic option. Objetives: To analyze dialytic effectiveness in patients >=65 years old on PD. Material and Methods: From 1/2011 to 1/2015, 27 patients over 65 years were studied. 19 males and 8 females, age 74.6 years (65-87), period of time on PD : 42.9 (5-55) months. 14 CAPD and 13 APD. Clinical indicators, peritonitis rate, total dropout because of peritonitis and death, nursing requirements and quality of life. Results: 9 (33%) required nursing. 13 had peritonitis (48%), 7 had only one episode that did not cause morbility and 6 dropped out from PD due to peritonitis. Peritonitis episodes 1/50 mp. 11 patients dropped out (40.7%), 4 because of peritonitis. 2 patients died due to peritonitis, 4 were transferred to HD and 1 recovered renal function. Clinical indicators: Kt/v>=1.7, 85% and 78%; Serum P p<= 5.5 mg/dl 85% CAPD and 70% APD respectively; calcemia >= 8.5 mg/dl 87%, HB<= 10g/dl 81% PTH between 150 and 400 pg/ml 67 % and plasma albumin >= 3.5 g/dl 78% for both therapies. Technique survival: 62%, 55%, 40%, and 25% in 12, 24, 36 and 48 months respectively. Longer training time, lesser skill, more respiratory infections and cardiovascular complications were observed. Conclusions: ?Third age patients? demand a multidisciplinary treatment. PD is an advantageous therapy in patients suffering from cardiovascular diseases and difficulties to achieve a vascular access. Complications associated to PD do not differ from those applied to younger patients.http://www.revistarenal.org.ar/index.php/rndt/article/view/22diálisis peritonealenfermedad renal crónicaadultos mayoresancianosperitonitis |
| spellingShingle | Gabriela González Miguel Angel Nadal Valeria Patronelli Alejandra Copa Abigail Gubergrit Peritoneal dialysis in patients over 65 tears. A Good therapeutic choice Revista de Nefrología, Diálisis y Trasplante diálisis peritoneal enfermedad renal crónica adultos mayores ancianos peritonitis |
| title | Peritoneal dialysis in patients over 65 tears. A Good therapeutic choice |
| title_full | Peritoneal dialysis in patients over 65 tears. A Good therapeutic choice |
| title_fullStr | Peritoneal dialysis in patients over 65 tears. A Good therapeutic choice |
| title_full_unstemmed | Peritoneal dialysis in patients over 65 tears. A Good therapeutic choice |
| title_short | Peritoneal dialysis in patients over 65 tears. A Good therapeutic choice |
| title_sort | peritoneal dialysis in patients over 65 tears a good therapeutic choice |
| topic | diálisis peritoneal enfermedad renal crónica adultos mayores ancianos peritonitis |
| url | http://www.revistarenal.org.ar/index.php/rndt/article/view/22 |
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