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Disability of Dialysis Patients and the Condition of Blood Vessels
The number of elderly hemodialysis patients is constantly increasing worldwide. This population has a high burden of comorbid conditions, which impair daily activities. The aim of the study was to analyze problems of disability in hemodialysis patients in the context of cardiovascular (CV) complicat...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356767/ https://www.ncbi.nlm.nih.gov/pubmed/32531965 http://dx.doi.org/10.3390/jcm9061806 |
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author | Gołębiowski, Tomasz Kusztal, Mariusz Konieczny, Andrzej Letachowicz, Krzysztof Gawryś, Ada Skolimowska, Beata Ostrowska, Bożena Zmonarski, Sławomir Janczak, Dariusz Krajewska, Magdalena |
author_facet | Gołębiowski, Tomasz Kusztal, Mariusz Konieczny, Andrzej Letachowicz, Krzysztof Gawryś, Ada Skolimowska, Beata Ostrowska, Bożena Zmonarski, Sławomir Janczak, Dariusz Krajewska, Magdalena |
author_sort | Gołębiowski, Tomasz |
collection | PubMed |
description | The number of elderly hemodialysis patients is constantly increasing worldwide. This population has a high burden of comorbid conditions, which impair daily activities. The aim of the study was to analyze problems of disability in hemodialysis patients in the context of cardiovascular (CV) complications and vascular condition. In this cross-sectional study, 129 patients (mean age 64.5) were enrolled. The degree of disability in Barthel index (Bi) and 10-year cardiovascular risk (QRISK(®)3) were assessed. A Mobil-O-Graph monitor was used for measuring hemodynamic parameters. Only 6.2% of patients were professionally active, 19% used a wheelchair for transport, and 16% used crutches. More than half (51%) were independent in everyday activities reaching 80–100 points on Bi. The rest, with Bi < 80, were considered as dependent. The most common causes of disability were CV complications. The independent group (80–100 points) was characterized by significantly lower pulse wave velocity (PWV) and lower QRISK(®)3 compared to dependent patients. The degree of disability negatively correlated with age, PWV, and QRISK(®)3. Multivariate logistic regression revealed that disability (Bi < 80) was independently associated with CV events in the past adjusted odds ratio (adj.OR) 4.83 (95% confidence interval (95% CI): 1.74–13.41) and higher PWV adj.OR 1.45 (95% CI: 1.15–1.82). Our results indicate that CV diseases are the most important cause of functional impairment. |
format | Online Article Text |
id | pubmed-7356767 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-73567672020-07-22 Disability of Dialysis Patients and the Condition of Blood Vessels Gołębiowski, Tomasz Kusztal, Mariusz Konieczny, Andrzej Letachowicz, Krzysztof Gawryś, Ada Skolimowska, Beata Ostrowska, Bożena Zmonarski, Sławomir Janczak, Dariusz Krajewska, Magdalena J Clin Med Article The number of elderly hemodialysis patients is constantly increasing worldwide. This population has a high burden of comorbid conditions, which impair daily activities. The aim of the study was to analyze problems of disability in hemodialysis patients in the context of cardiovascular (CV) complications and vascular condition. In this cross-sectional study, 129 patients (mean age 64.5) were enrolled. The degree of disability in Barthel index (Bi) and 10-year cardiovascular risk (QRISK(®)3) were assessed. A Mobil-O-Graph monitor was used for measuring hemodynamic parameters. Only 6.2% of patients were professionally active, 19% used a wheelchair for transport, and 16% used crutches. More than half (51%) were independent in everyday activities reaching 80–100 points on Bi. The rest, with Bi < 80, were considered as dependent. The most common causes of disability were CV complications. The independent group (80–100 points) was characterized by significantly lower pulse wave velocity (PWV) and lower QRISK(®)3 compared to dependent patients. The degree of disability negatively correlated with age, PWV, and QRISK(®)3. Multivariate logistic regression revealed that disability (Bi < 80) was independently associated with CV events in the past adjusted odds ratio (adj.OR) 4.83 (95% confidence interval (95% CI): 1.74–13.41) and higher PWV adj.OR 1.45 (95% CI: 1.15–1.82). Our results indicate that CV diseases are the most important cause of functional impairment. MDPI 2020-06-10 /pmc/articles/PMC7356767/ /pubmed/32531965 http://dx.doi.org/10.3390/jcm9061806 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Gołębiowski, Tomasz Kusztal, Mariusz Konieczny, Andrzej Letachowicz, Krzysztof Gawryś, Ada Skolimowska, Beata Ostrowska, Bożena Zmonarski, Sławomir Janczak, Dariusz Krajewska, Magdalena Disability of Dialysis Patients and the Condition of Blood Vessels |
title | Disability of Dialysis Patients and the Condition of Blood Vessels |
title_full | Disability of Dialysis Patients and the Condition of Blood Vessels |
title_fullStr | Disability of Dialysis Patients and the Condition of Blood Vessels |
title_full_unstemmed | Disability of Dialysis Patients and the Condition of Blood Vessels |
title_short | Disability of Dialysis Patients and the Condition of Blood Vessels |
title_sort | disability of dialysis patients and the condition of blood vessels |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356767/ https://www.ncbi.nlm.nih.gov/pubmed/32531965 http://dx.doi.org/10.3390/jcm9061806 |
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