Mortality, morbidity, and life satisfaction in the very old dialysis patient.
Mortality, morbidity, and life satisfaction in the very old dialysis patient.
复制标题
高龄透析患者的死亡率、发病率和生活满意度。
DOI：
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发表时间：
1984
期刊：
影响因子：
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通讯作者：
C. Kjellstrand
中科院分区：
文献类型：
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作者：
L. Westlie;A. Umen;S. Nestrud;C. Kjellstrand
透析患者的平均年龄正在迅速增加。在我们目前的计划中，20-25% 的患者年龄在 70 岁或以上。我们对所有 157 名 70 岁及以上（平均年龄 75 岁）患者进行了生存分析，并使用 Cox 比例风险模型评估了与透析生存相关的风险因素。在一项针对所有 53 名中心透析患者和 26 名家庭透析患者的患病率研究中，对发病率、生化状况、临床结果和生活满意度进行了评估。在生存分析中，我们发现自 1976 年 1 月 1 日以来生存率有所提高，这表明迄今为止透析技术的进步。 1 年、3 年和 5 年生存率分别为 78%、47% 和 22%。只有动脉硬化性心脏病和入学年份是重要的危险因素； 70 岁以上的高龄和中心透析的重要性并不高。家庭患者的透析症状比中心患者少。几乎所有患者都住在家里。五名患者（6%）住在疗养院。大多数患者对自己的生活非常满意，认为自己的健康状况比其他70岁老人好，经常户外活动，参加教堂活动，有积极的爱好，非常享受生活，卡诺夫斯基活动量表得分较高。我们的结论是，老年患者是优秀的透析候选人，不考虑他们进行透析是错误的。
The average age of dialysis patients is rapidly increasing. In our present program, 20-25% of all patients are 70 yrs or older. We performed survival analysis of all 157 patients 70 yrs and above (mean age 75 yrs) and evaluated risk factors associated with dialysis survival using the Cox proportional hazards model. Morbidity, biochemical status, clinical results and life satisfaction were evaluated in a prevalence study of all 53 in-center and 26 home dialysis patients. In the survival analysis, we found improved survival since January 1, 1976, indicating improvement in dialysis technique up until that time. The 1, 3, and 5 yr survival were 78%, 47%, and 22% respectively. Only arteriosclerotic heart disease and year of entry were significant risk factors; advancing age over age 70 and in-center dialysis were only of marginal importance. The home patients had fewer dialysis symptoms than in-center patients. Almost all patients lived at home. Five patients (6%) were in nursing homes. Most patients were very satisfied with their lives, regarded their health as better than other 70 year old persons, spent time outdoors, participated in church activities, had active hobbies, enjoyed life very much, and scored high on the Karnofsky activity scale. We conclude older patients are excellent dialysis candidates and it is wrong not to consider them for dialysis.