Frailty and mortality among dialysis patients
Abstract Frailty is a clinical state in which there is an increase in the individual’s vulnerability to developing increased dependency and/or mortality when exposed to a stressor. Since the mean age of dialysis patients is increasing worldwide, frailty has recently come to be considered one of the...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2017-10-01
|
Series: | Renal Replacement Therapy |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s41100-017-0122-y |
_version_ | 1818522339235594240 |
---|---|
author | Kosaku Nitta Norio Hanafusa Ken Tsuchiya |
author_facet | Kosaku Nitta Norio Hanafusa Ken Tsuchiya |
author_sort | Kosaku Nitta |
collection | DOAJ |
description | Abstract Frailty is a clinical state in which there is an increase in the individual’s vulnerability to developing increased dependency and/or mortality when exposed to a stressor. Since the mean age of dialysis patients is increasing worldwide, frailty has recently come to be considered one of the risk factors for mortality in the older dialysis population. The prevalence of frailty among dialysis patients has ranged from 3.0- to 10-fold higher than that among community-dwelling elderly, depending on the method of assessing frailty and patient characteristics. Since frailty has been found to be associated with higher mortality, independent of clinical characteristics and comorbidity, interventions to improve frailty have the potential to contribute to better quality of life and lower mortality among dialysis patients. In addition, greater attention should be focused on the possibility that early rehabilitation of dialysis patients might improve poor outcomes. Clinical research should aim to devise an adequate strategy to address frailty, including identifying the optimal timing for intervention. |
first_indexed | 2024-12-11T05:31:58Z |
format | Article |
id | doaj.art-f675ff0e2eab437b9210e716bcf7d31c |
institution | Directory Open Access Journal |
issn | 2059-1381 |
language | English |
last_indexed | 2024-12-11T05:31:58Z |
publishDate | 2017-10-01 |
publisher | BMC |
record_format | Article |
series | Renal Replacement Therapy |
spelling | doaj.art-f675ff0e2eab437b9210e716bcf7d31c2022-12-22T01:19:24ZengBMCRenal Replacement Therapy2059-13812017-10-01311610.1186/s41100-017-0122-yFrailty and mortality among dialysis patientsKosaku Nitta0Norio Hanafusa1Ken Tsuchiya2Department of Medicine, Kidney Center, Tokyo Women’s Medical UniversityDepartment of Blood Purification, Kidney Center, Tokyo Women’s Medical UniversityDepartment of Blood Purification, Kidney Center, Tokyo Women’s Medical UniversityAbstract Frailty is a clinical state in which there is an increase in the individual’s vulnerability to developing increased dependency and/or mortality when exposed to a stressor. Since the mean age of dialysis patients is increasing worldwide, frailty has recently come to be considered one of the risk factors for mortality in the older dialysis population. The prevalence of frailty among dialysis patients has ranged from 3.0- to 10-fold higher than that among community-dwelling elderly, depending on the method of assessing frailty and patient characteristics. Since frailty has been found to be associated with higher mortality, independent of clinical characteristics and comorbidity, interventions to improve frailty have the potential to contribute to better quality of life and lower mortality among dialysis patients. In addition, greater attention should be focused on the possibility that early rehabilitation of dialysis patients might improve poor outcomes. Clinical research should aim to devise an adequate strategy to address frailty, including identifying the optimal timing for intervention.http://link.springer.com/article/10.1186/s41100-017-0122-yFrailtyChronic kidney diseaseDialysisMortalityIntervention |
spellingShingle | Kosaku Nitta Norio Hanafusa Ken Tsuchiya Frailty and mortality among dialysis patients Renal Replacement Therapy Frailty Chronic kidney disease Dialysis Mortality Intervention |
title | Frailty and mortality among dialysis patients |
title_full | Frailty and mortality among dialysis patients |
title_fullStr | Frailty and mortality among dialysis patients |
title_full_unstemmed | Frailty and mortality among dialysis patients |
title_short | Frailty and mortality among dialysis patients |
title_sort | frailty and mortality among dialysis patients |
topic | Frailty Chronic kidney disease Dialysis Mortality Intervention |
url | http://link.springer.com/article/10.1186/s41100-017-0122-y |
work_keys_str_mv | AT kosakunitta frailtyandmortalityamongdialysispatients AT noriohanafusa frailtyandmortalityamongdialysispatients AT kentsuchiya frailtyandmortalityamongdialysispatients |