Related Experiment Video
Updated: May 5, 2026
05:53
Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
18.6K
Relationship Between Frailty, as Assessed Using the Kihon Checklist, and Falls in Hemodialysis Patients: A
Nobuyuki Shirai1, Naoto Usui2, Daisuke Okamura3
1Department of Rehabilitation, Niigata Rinko Hospital, Niigata, Japan; Virtual Laboratory, Renal Exercise and Physical Activity Network, Japan.
Summary
The Kihon checklist (KCL) effectively identifies frailty in hemodialysis patients, predicting higher risks of falls and fractures. This tool aids in early intervention for vulnerable individuals.
Area of Science:
- Gerontology
- Nephrology
- Public Health
Background:
- Hemodialysis patients face elevated risks of frailty, falls, and fractures.
- The Kihon checklist (KCL) assesses physical function, cognition, oral health, nutrition, mood, daily activities, and social participation.
Purpose of the Study:
- To investigate the association between frailty, as measured by the KCL, and the incidence of falls in hemodialysis patients.
- To determine if KCL scores and individual domains predict falls, severe falls, or fractures.
Main Methods:
- A multicenter prospective cohort study involving 403 hemodialysis patients over 1 year.
- Frailty was assessed using the KCL and patients were categorized as robust, prefrail, or frail.
- Logistic regression analyzed the relationship between KCL status/scores/domains and fall/fracture outcomes.
Main Results:
- 29.0% of patients experienced falls during the follow-up.
- Pre-frailty and frailty were significantly associated with increased odds of falls compared to robust individuals.
- Higher KCL scores correlated with severe falls and fractures; physical and cognitive function domains were independently linked to falls.
Conclusions:
- The Kihon checklist (KCL) shows promise as a valuable screening tool for assessing fall and fracture risk in hemodialysis patients.
- Early identification of frailty using KCL can guide interventions to prevent falls and fractures in this high-risk population.
Related Concept Videos
01:27Dialysis
2.2K
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
2.2K
01:18Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion
354
In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
354
01:25Hemodialysis III: Nursing Management
1.8K
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
1.8K
01:24Chronic Kidney Disease II: Clinical Manifestations
1.1K
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
1.1K
01:28Chronic Kidney Disease III: Interprofessional Care
679
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
679
01:18Chronic Kidney Disease IV: Nursing Management
682
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
682