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2017 ; 2017
(ä): 7624139
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English Wikipedia
Frail Patient in Hemodialysis: A New Challenge in Nephrology-Incidence in Our
Area, Barcelonès Nord and Maresme
#MMPMID29093973
Bancu I
; Graterol F
; Bonal J
; Fernández-Crespo P
; Garcia J
; Aguerrevere S
; Del Castillo D
; Bonet J
J Aging Res
2017[]; 2017
(ä): 7624139
PMID29093973
show ga
INTRODUCTION: Labeling a patient as "frail" may be useful in assessing the
prognosis and therapeutic approach. OBJECTIVE: The aim of the study is to define
a pattern of frailty among our dialysis population, to analyse the incidence and
clinical evolution of these patients. MATERIALS AND METHODS: We analysed a total
of 320 patients with stage V chronic kidney disease (CKD) who were on
hemodialysis between September 2014 and September 2015. To define a patient as
frail we used the Fried phenotype model, and we added a new criteria-dialysis
session length longer than 12 hours/week. RESULTS: 5.6% of the 320 patients were
frail. We found statistically significant differences regarding body mass index
(BMI), hemoglobin (Hgb), and serum albumin, as well as the ability to perform the
basic activities of daily living (p < 0.005), ability to ambulate (p = 0.01) and
perform transfers (p < 0.005). We found statistically significant differences
between the two groups in terms of hospital admissions (p = 0.005) and mortality
(p < 0.005). CONCLUSION: 5.6% of the study population were frail, with lower BMI,
serum albumin and hemoglobin, lower capacity for basic activities of daily
living, ambulation, and transference, as well as higher morbidity and mortality.