COMPARING INDIVIDUAL- AND FAMILY MEMBER-ASSISTED PERITONEAL DIALYSIS IN ELDERLY END-STAGE RENAL DISEASE PATIENTS

Abstract

Aim: There has been a steady increase in the number of elderly patients with end-stage renal disease (ESRD) receiving renal replacement therapy (RRT). We aimed to compare the efficiency and complications between individual and family member-assisted PD in a patient group with geriatric ESRD. Method: This retrospective study included 50 patients > 65 years of age who received CAPD treatment between 2017-2019 in the peritoneal dialysis unit. Before dialysis modality selection, patients' functional status was evaluated with the 6-item activities of daily living (ADL) and 8-item instrumental daily living activities (IADL). Their three years’ follow-up results were evaluated in terms of dialysis efficiency parameters and dialysis complications. Results: There was no statistical difference between the two groups regarding their age, gender, and biochemical data. There was also no difference between edema, exit-site infection, and leakage; however, a significant difference was observed between the total number of peritonitis and the time until the first peritonitis attack. The time until the first peritonitis attack was shorter in the APD group than in the other group. Besides, the number of total peritonitis attacks was higher in the assisted PD group. Conclusion: The elderly ESRD population is increasing, and PD use is declining worldwide. However, if APD is not done well, it may not be an effective strategy to reverse this decline and provide safe and successful treatment to many frail, elderly patients.

Keywords

• elderly
• assisted
• peritoneal dialysis

YAŞLI SON DÖNEM BÖBREK HASTALARINDA ASİSTE PERİTON DİYALİZİNİN KARŞILAŞTIRILMASI

Abstract

Amaç: Renal replasman tedavisi (RRT) alan son dönem böbrek yetmezliği (SDBY) olan yaşlı hastaların sayısında sürekli bir artış olmuştur. Geriatrik SDBY'li bir hasta grubunda birey ve aile üyesi destekli PD arasındaki etkinlik ve komplikasyonları karşılaştırmayı amaçladık. Yöntem: Bu retrospektif çalışmaya 2017-2019 yılları arasında periton diyalizi ünitesinde SAPD tedavisi gören 65 yaş üstü 50 hasta dahil edildi. Diyaliz yöntemi seçiminden önce hastaların fonksiyonel durumları 6 maddelik günlük yaşam aktiviteleri (ADL) ve 8 maddelik enstrümantal günlük yaşam aktiviteleri (IADL) ile değerlendirildi. Üç yıllık takip sonuçları, diyaliz etkinlik parametreleri ve diyaliz komplikasyonları açısından değerlendirildi. Bulgular: İki grup arasında yaş, cinsiyet ve biyokimyasal veriler açısından istatistiksel fark yoktu. Ödem, çıkış yeri enfeksiyonu ve sızıntı arasında da fark yoktu; ancak toplam peritonit sayısı ile ilk peritonit atağına kadar geçen süre arasında anlamlı bir fark gözlendi. APD grubunda ilk peritonit atağına kadar geçen süre diğer gruba göre daha kısaydı. Ayrıca asiste PD grubunda total peritonit atak sayısı daha fazlaydı. Sonuç: Yaşlı SDBY popülasyonu artmakta ve PD kullanımı dünya çapında azalmaktadır. Bununla birlikte, APD iyi yapılmazsa, bu düşüşü tersine çevirmek ve birçok zayıf, yaşlı hastaya güvenli ve başarılı tedavi sağlamak için etkili bir strateji olmayabilir.

Keywords

• asiste
• periton diyalizi
• geriatri

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