Cargando…

Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil

An increasing number of elderly people in renal support is expected in the coming years. The objective of this study was to report the clinical and socio-demographic data of end-stage renal disease (ESRD) adult patients undergoing regular dialysis treatment comparing elderly (≥65 years old) and non-...

Descripción completa

Detalles Bibliográficos
Autores principales: Gonçalves, J.G., Lugon, J.R., do Nascimento, M.M., Sesso, R.C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Brasileira de Divulgação Científica 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894391/
https://www.ncbi.nlm.nih.gov/pubmed/33624734
http://dx.doi.org/10.1590/1414-431X20209806
_version_ 1783653241869828096
author Gonçalves, J.G.
Lugon, J.R.
do Nascimento, M.M.
Sesso, R.C.
author_facet Gonçalves, J.G.
Lugon, J.R.
do Nascimento, M.M.
Sesso, R.C.
author_sort Gonçalves, J.G.
collection PubMed
description An increasing number of elderly people in renal support is expected in the coming years. The objective of this study was to report the clinical and socio-demographic data of end-stage renal disease (ESRD) adult patients undergoing regular dialysis treatment comparing elderly (≥65 years old) and non-elderly subjects using data from the Brazilian Dialysis Registry database. The regional distribution of the sample was Southeast (48.8%), South (33.7), Northeast (13.1%), Midwest (5.1%), and North (0.1%). A total of 18,030 patients were included in the analysis with elderly patients accounting for 29.5% of the sample. The elderly patients were predominantly male, white, retired, and literate. Elderly ESRD patients had a slightly higher frequency of undernourishment and a lower frequency of obesity than the non-elderly adults. A higher frequency of elderly patients were from the South and Southeast regions. The dialysis treatment of patients from both groups was predominantly funded by the public system, but the percent of non-public funding was higher for the elderly group. The most used initial access in the elderly was the central venous catheter and hemodialysis was the main modality at the beginning of treatment (93.2%), as well as during maintenance therapy (91.8%). Advanced age was associated with greater use of central venous catheter in the first dialysis session. The survival of the elderly on dialysis was lower than that of the non-elderly early in the course of dialysis and this difference increased over time. This is yet the largest national epidemiological study of elderly people on chronic dialysis.
format Online
Article
Text
id pubmed-7894391
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Associação Brasileira de Divulgação Científica
record_format MEDLINE/PubMed
spelling pubmed-78943912021-02-26 Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil Gonçalves, J.G. Lugon, J.R. do Nascimento, M.M. Sesso, R.C. Braz J Med Biol Res Research Article An increasing number of elderly people in renal support is expected in the coming years. The objective of this study was to report the clinical and socio-demographic data of end-stage renal disease (ESRD) adult patients undergoing regular dialysis treatment comparing elderly (≥65 years old) and non-elderly subjects using data from the Brazilian Dialysis Registry database. The regional distribution of the sample was Southeast (48.8%), South (33.7), Northeast (13.1%), Midwest (5.1%), and North (0.1%). A total of 18,030 patients were included in the analysis with elderly patients accounting for 29.5% of the sample. The elderly patients were predominantly male, white, retired, and literate. Elderly ESRD patients had a slightly higher frequency of undernourishment and a lower frequency of obesity than the non-elderly adults. A higher frequency of elderly patients were from the South and Southeast regions. The dialysis treatment of patients from both groups was predominantly funded by the public system, but the percent of non-public funding was higher for the elderly group. The most used initial access in the elderly was the central venous catheter and hemodialysis was the main modality at the beginning of treatment (93.2%), as well as during maintenance therapy (91.8%). Advanced age was associated with greater use of central venous catheter in the first dialysis session. The survival of the elderly on dialysis was lower than that of the non-elderly early in the course of dialysis and this difference increased over time. This is yet the largest national epidemiological study of elderly people on chronic dialysis. Associação Brasileira de Divulgação Científica 2021-02-12 /pmc/articles/PMC7894391/ /pubmed/33624734 http://dx.doi.org/10.1590/1414-431X20209806 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Gonçalves, J.G.
Lugon, J.R.
do Nascimento, M.M.
Sesso, R.C.
Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil
title Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil
title_full Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil
title_fullStr Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil
title_full_unstemmed Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil
title_short Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil
title_sort demographics and clinical features of elderly patients undergoing regular dialysis in brazil
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894391/
https://www.ncbi.nlm.nih.gov/pubmed/33624734
http://dx.doi.org/10.1590/1414-431X20209806
work_keys_str_mv AT goncalvesjg demographicsandclinicalfeaturesofelderlypatientsundergoingregulardialysisinbrazil
AT lugonjr demographicsandclinicalfeaturesofelderlypatientsundergoingregulardialysisinbrazil
AT donascimentomm demographicsandclinicalfeaturesofelderlypatientsundergoingregulardialysisinbrazil
AT sessorc demographicsandclinicalfeaturesofelderlypatientsundergoingregulardialysisinbrazil