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Clinical outcomes and mortality in elderly peritoneal dialysis patients
Sakacı, Tamer; Ahbap, Elbis; Koc, Yener; Basturk, Taner; Ucar, Zuhal Atan; Sınangıl, Ayse; Sevınc, Mustafa; Kara, Ekrem; Akgol, Cuneyt; Kayalar, Arzu Ozdemır; Caglayan, Feyza Bayraktar; Sahutoglu, Tuncay; Ünsal, Abdulkadir.
  • Sakacı, Tamer; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
  • Ahbap, Elbis; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
  • Koc, Yener; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
  • Basturk, Taner; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
  • Ucar, Zuhal Atan; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
  • Sınangıl, Ayse; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
  • Sevınc, Mustafa; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
  • Kara, Ekrem; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
  • Akgol, Cuneyt; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
  • Kayalar, Arzu Ozdemır; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
  • Caglayan, Feyza Bayraktar; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
  • Sahutoglu, Tuncay; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
  • Ünsal, Abdulkadir; Sisli Etfal Research and Educational Hospital. Department of Nephrology. TR
Clinics ; 70(5): 363-368, 05/2015. tab, graf
Article in English | LILACS | ID: lil-748276
ABSTRACT

OBJECTIVES:

To evaluate the clinical outcomes and identify the predictors of mortality in elderly patients undergoing peritoneal dialysis.

METHODS:

We conducted a retrospective study including all incident peritoneal dialysis cases in patients ≥65 years of age treated from 2001 to 2014. Demographic and clinical data on the initiation of peritoneal dialysis and the clinical events during the study period were collected. Infectious complications were recorded. Overall and technique survival rates were analyzed.

RESULTS:

Fifty-eight patients who began peritoneal dialysis during the study period were considered for analysis, and 50 of these patients were included in the final analysis. Peritoneal dialysis exchanges were performed by another person for 65% of the patients, whereas 79.9% of patients preferred to perform the peritoneal dialysis themselves. Peritonitis and catheter exit site/tunnel infection incidences were 20.4±16.3 and 24.6±17.4 patient-months, respectively. During the follow-up period, 40 patients were withdrawn from peritoneal dialysis. Causes of death included peritonitis and/or sepsis (50%) and cardiovascular events (30%). The mean patient survival time was 38.9±4.3 months, and the survival rates were 78.8%, 66.8%, 50.9% and 19.5% at 1, 2, 3 and 4 years after peritoneal dialysis initiation, respectively. Advanced age, the presence of additional diseases, increased episodes of peritonitis, the use of continuous ambulatory peritoneal dialysis, and low albumin levels and daily urine volumes (<100 ml) at the initiation of peritoneal dialysis were predictors of mortality. The mean technique survival duration was 61.7±5.2 months. The technique survival rates were 97.9%, 90.6%, 81.5% and 71% at 1, 2, 3 and 4 years, respectively. None of the factors analyzed were predictors of technique survival.

CONCLUSIONS:

Mortality was higher in elderly patients. Factors affecting mortality in elderly patients included advanced age, ...
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Full text: Available Index: LILACS (Americas) Main subject: Gene Expression Regulation Type of study: Observational study / Prognostic study / Risk factors Language: English Journal: Clinics Journal subject: Medicine Year: 2015 Type: Article Affiliation country: Turkey Institution/Affiliation country: Sisli Etfal Research and Educational Hospital/TR

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Full text: Available Index: LILACS (Americas) Main subject: Gene Expression Regulation Type of study: Observational study / Prognostic study / Risk factors Language: English Journal: Clinics Journal subject: Medicine Year: 2015 Type: Article Affiliation country: Turkey Institution/Affiliation country: Sisli Etfal Research and Educational Hospital/TR