COMPARING INDIVIDUAL- AND FAMILY MEMBER-ASSISTED PERITONEAL DIALYSIS IN ELDERLY END-STAGE RENAL DISEASE PATIENTS

Authors : Sümeyra KOYUNCU, Cihan UYSAL, Sibel AKIN, Ali GÜNDOĞDU, İsmail KOÇYİĞİT, Murat SİPAHİOĞLU, Oktay OYMAK, Bülent TOKGÖZ

Pages : 302-308

Doi:10.53394/akd.1054948

View : 20 | Download : 29

Publication Date : 2023-09-01

Article Type : Research Paper

Abstract :Aim: There has been a steady increase in the number of elderly patients with end-stage renal disease insert ignore into journalissuearticles values(ESRD); receiving renal replacement therapy insert ignore into journalissuearticles values(RRT);. We aimed to compare the efficiency and complications between individual and family member-assisted PD in a patient group with geriatric ESRD. Method: This retrospective study included 50 patients > 65 years of age who received CAPD treatment between 2017-2019 in the peritoneal dialysis unit. Before dialysis modality selection, patients\` functional status was evaluated with the 6-item activities of daily living insert ignore into journalissuearticles values(ADL); and 8-item instrumental daily living activities insert ignore into journalissuearticles values(IADL);. Their three years’ follow-up results were evaluated in terms of dialysis efficiency parameters and dialysis complications. Results: There was no statistical difference between the two groups regarding their age, gender, and biochemical data. There was also no difference between edema, exit-site infection, and leakage; however, a significant difference was observed between the total number of peritonitis and the time until the first peritonitis attack. The time until the first peritonitis attack was shorter in the APD group than in the other group. Besides, the number of total peritonitis attacks was higher in the assisted PD group. Conclusion: The elderly ESRD population is increasing, and PD use is declining worldwide. However, if APD is not done well, it may not be an effective strategy to reverse this decline and provide safe and successful treatment to many frail, elderly patients.
Keywords : asiste, periton diyalizi, geriatri