Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Korean J Intern Med. 2020 Mar;35(2):284-294. doi: 10.3904/kjim.2019.431. Epub 2020 Feb 28.
The objective of this article is to raise awareness among physicians of the increasing incidence of acute kidney injury in the elderly population and the utility of continuous renal replacement therapy (CRRT) in its management. While CRRT is frequently applied in younger patients, its use in elderly patients is less frequent, for various reasons, including resistance to such an aggressive intervention from the family and the healthcare team. However, predictors of prognosis have been identified and some studies have concluded that advanced age is not associated with poor outcomes. Decisions regarding management are more complex when dealing with the elderly but like very other patient, the approach should be patient- centered.
本文旨在提高医生对老年人群中急性肾损伤发病率不断上升的认识，以及连续性肾脏替代治疗（CRRT）在其治疗中的应用。虽然 CRRT 在年轻患者中经常应用，但由于各种原因，包括患者家庭和医疗团队对这种激进干预的抵触，在老年患者中的应用则较少，这些原因包括患者家庭和医疗团队对这种激进干预的抵触。然而，已经确定了预后的预测因素，一些研究得出的结论是，高龄与不良预后无关。在处理老年患者时，管理决策更加复杂，但与其他任何患者一样，治疗方法应以人为本。
