Joglar F, Saadé M
Auxilio Mutuo Hospital, University of Puerto Rico, San Juan.
Adv Perit Dial. 1991;7:63-7.
Clinical complications and outcome of 50 patients, age 65 or older, on dialysis during 1985-1990 were studied. There were three groups: Peritoneal Dialysis (PD-10 pts.), Hemodialysis (HD-28 pts.), and both for at least one month each (PD-HD 12 pts.) (8 HD to PD and 4 PD to HD). Analysis included sex, age, bacteremia associated to acute vascular accesses (AVA), peritonitis (PD), other illnesses, hospital days, blood chemistries, quality of life (active, sedentary or bedridden). The most frequent causes of death were septicemia and cardiac failure. No difference was found in age, chemistries, hemoglobin, illnesses or quality of life. The results showed a significant improved overall survival for those in the PD group (77.8%, p less than 0.05) as compared to HD or PD-HD group. Therefore, more emphasis should be placed on using PD for elderly patients.
对1985年至1990年间50名65岁及以上接受透析治疗的患者的临床并发症及预后进行了研究。分为三组：腹膜透析组（PD，10例）、血液透析组（HD，28例）以及每组至少接受过一个月两种透析方式的组（PD-HD，12例）（8例从HD转为PD，4例从PD转为HD）。分析内容包括性别、年龄、与急性血管通路相关的菌血症（AVA）、腹膜炎（PD）、其他疾病、住院天数、血液化学指标、生活质量（活动、久坐或卧床）。最常见的死亡原因是败血症和心力衰竭。在年龄、化学指标、血红蛋白、疾病或生活质量方面未发现差异。结果显示，与HD组或PD-HD组相比，PD组患者的总体生存率显著提高（77.8%，p<0.05）。因此，对于老年患者应更加强调使用腹膜透析。
