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Stasis oedema in the elderly: are diuretics necessary?
J A Wilson1, D Thompson, W J MacLennan
1Geriatric Medicine Unit, City Hospital, Edinburgh, UK.
Gerontology
|January 1, 1991
Summary
Discontinuing diuretic therapy in elderly patients may lead to worsening leg edema. While most patients tolerated cessation, some experienced fluid overload, indicating careful monitoring is essential.
Area of Science:
- Geriatrics
- Pharmacology
Background:
- Long-term diuretic use is common in elderly patients.
- The impact of discontinuing diuretics in this population requires further investigation.
Purpose of the Study:
- To assess the effects of discontinuing diuretic therapy in elderly patients without uncontrolled cardiac failure or hypertension.
Main Methods:
- Diuretic therapy was stopped in 15 elderly patients on long-term treatment.
- Patients were monitored for signs of cardiac failure or significant edema.
Main Results:
- Two patients (13.3%) required diuretics to resume due to cardiac failure or severe leg edema.
- The remaining 13 patients (86.7%) experienced a mean increase in leg volume of 8.2%.
Conclusions:
- Discontinuation of diuretic therapy in elderly patients can lead to a mild but significant increase in lower limb edema.
- Careful consideration and monitoring are advised when discontinuing diuretics in this demographic.