老年腹腔透析患者的结局:65-74岁与75岁或以上的患者相比
Luyan Gao1, Xuefeng Chen1, Sheng Feng1
1The Second Affiliated Hospital of Soochow University, Suzhou, China.
Renal failure
|October 5, 2023
概括
与65-74岁患者相比,75岁及以上的腹透析 (PD) 的老年患者的患者存活率明显较低. 然而,这两年龄组的技术存活率是相似的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 老年病的医生 老年病的医生
- 临床医学 临床医学
背景情况:
- 腹腔透析 (PD) 是老年患者末期病的关键治疗方法.
- 与年龄相关的生理变化可能会影响PD的结果.
- 了解老年PD患者的生存差异对于优化护理至关重要.
研究的目的:
- 为了比较不同年龄组的老年PD患者的患者和技术生存率.
- 确定影响患有PD的老年人生存的因素.
主要方法:
- 对296名维持PD的老年患者 (≥65岁) 的回顾性分析.
- 患者分为两组:65-74岁 (第一组) 和≥75岁 (第二组).
- 卡普兰-梅尔方法用于生存分析; 考克斯回归用于风险因素识别.
主要成果:
- 2组 (≥75岁) 与1组 (65-74岁) 相比,患者在1,3年和5年生存率显著降低.
- 心血管事件是这两组人的主要死亡原因.
- 两组之间没有观察到技术生存率的显著差异.
结论:
- 高龄 (≥75岁) 与PD患者的生存率降低有关,主要是由于心血管事件.
- 低预白蛋白,高肌素,不使用活性维生素D和高查尔森并发症指数 (CCI) 等因素独立预测死亡率.
- 虽然患者的生存率有所不同,但PD仍然是一个可行的选择,在这些老年年龄组中具有类似的技术生存率.
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