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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:dateCreated |
1997-1-30
|
| pubmed:abstractText |
Clinical data and outcomes of 18 patients, aged 80 or older, on continuous ambulatory peritoneal dialysis (CAPD) during the last five years were reviewed. There were 12 males and 6 females, with a mean age of 85 (range 82-91 years) and median duration on CAPD of 31.5 months (range 2-58 months). End-stage renal disease was caused by nephrosclerosis in 9, diabetes mellitus and light chain disease in 2 each, and chronic glomerulonephritis, membranous nephropathy, and IgA nephropathy in 1 each, with the cause unknown in yet another 2 patients. Hypertension and angina were the commonest comorbid conditions observed. Peritonitis episodes occurred one per 10.8 patient-months, and necessitated catheter removal in 7 patients and reinsertion in 6 of them. Fourteen episodes of exit-site infections were seen in 8 patients, 2 developed pericatheter leak, and 1 had tunnel infection. Nine patients are continuing CAPD successfully, with a median duration of 29 months (range 11-57 months). One patient was transferred to hemodialysis, and 8 died. The causes of death were peritonitis (3/8), cerebrovascular accident (2/8), pneumonia (1/8), and septicemia (1/8), with the cause not known in 1 patient. Our survival rate of 80% at three years is encouraging, and we advocate CAPD as a successful alternative treatment modality in octogenarians.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
1197-8554
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
12
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
126-31
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| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:8865886-Aged,
pubmed-meshheading:8865886-Aged, 80 and over,
pubmed-meshheading:8865886-Cardiovascular Diseases,
pubmed-meshheading:8865886-Cause of Death,
pubmed-meshheading:8865886-Female,
pubmed-meshheading:8865886-Follow-Up Studies,
pubmed-meshheading:8865886-Humans,
pubmed-meshheading:8865886-Kidney Failure, Chronic,
pubmed-meshheading:8865886-Male,
pubmed-meshheading:8865886-Peritoneal Dialysis, Continuous Ambulatory,
pubmed-meshheading:8865886-Peritonitis,
pubmed-meshheading:8865886-Survival Rate,
pubmed-meshheading:8865886-Treatment Outcome
|
| pubmed:year |
1996
|
| pubmed:articleTitle |
Successful use of continuous ambulatory peritoneal dialysis in octogenarians.
|
| pubmed:affiliation |
Division of Nephrology, Toronto Hospital, Ontario, Canada.
|
| pubmed:publicationType |
Journal Article
|