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[Fatigue in elderly patients on dialysis]
Thierry Lobbedez1, Elodie Desbordes, Florence Joly
1Service de néphrologie, CHU de Clemenceau, avenue Clemenceau, 14033 Caen cedex, France. lobbedez-t@chu-caen.fr
Nephrologie & Therapeutique
|August 2, 2008
Summary
Elderly dialysis patients experience higher fatigue than those without dialysis. Peritoneal dialysis may reduce psychic fatigue compared to hemodialysis, with inflammation and comorbidities influencing overall fatigue levels.
Area of Science:
- Nephrology
- Geriatrics
- Clinical Medicine
Context:
- Fatigue is a prevalent and debilitating symptom in patients undergoing dialysis.
- Understanding factors contributing to fatigue is crucial for improving patient quality of life.
Purpose:
- To evaluate the impact of dialysis modality (hemodialysis vs. peritoneal dialysis) on fatigue levels in elderly patients.
- To explore the relationship between fatigue, inflammation, and comorbidities in dialysis patients.
Summary:
- This cross-sectional study compared fatigue in elderly hemodialysis and peritoneal dialysis patients to a non-dialysis control group.
- Dialysis patients exhibited significantly higher fatigue scores across all dimensions compared to controls.
- Peritoneal dialysis patients reported lower psychic fatigue than hemodialysis patients, despite similar demographic and comorbidity profiles. Higher CRP levels and modified Charlson index correlated with increased general and physical fatigue, respectively.
Impact:
- Dialysis modality, inflammation, and comorbidities significantly influence fatigue experienced by elderly dialysis patients.
- Findings suggest potential benefits of peritoneal dialysis in mitigating psychic fatigue.
- Highlights the need for targeted interventions to manage fatigue in this vulnerable population.
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