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[Chronic dialysis in advanced age patients: a reasonable therapeutic alternative?]
J Duclos1, B Cubillos, M C Salgado
1Departamento de Nefrología, Hospital Naval de Valparaíso, Chile.
Revista Medica De Chile
|November 1, 1991
Abstract:
Thirty two elderly patients (mean age 68.8 +/- 6.95 years) were treated by maintenance hemodialysis or intermittent peritoneal dialysis. 28.1% were diabetics and no survivors in this group were observed after 24 months. Median survival for non diabetic patients was 72.4 months vs 9.03 months in diabetics (p < 0.01). The main cause of death was discontinuation of dialysis (33%) or cardiovascular disease. Thus, chronic dialysis is a reasonable treatment for elderly patients with end stage renal disease. However, diabetes is associated to a poor prognosis.