Maja Račić1, Nenad Petković2, Koviljka Bogićević3, Ivko Marić4, Jelena Matović5, Velimirka Pejović5, Marijana Kovačević1, Ljubica Djukanović6. 1. a Faculty of Medicine Foča , University of East Sarajevo , The Republic of Srpska , Bosnia and Herzegovina . 2. b Fresenius Medical Center - Hemodialysis Center in Šamac , The Republic of Srpska , Bosnia and Herzegovina . 3. c Fresenius Medical Center - Hemodialysis Center in Zvornik , The Republic of Srpska , Bosnia and Herzegovina . 4. d Special Hospital for Endemic Nephropathy , Lazarevac , Serbia . 5. e Health Center Foča , The Republic of Srpska , Bosnia and Herzegovina , and. 6. f School of Medicine, University of Belgrade , Belgrade , Serbia.
Abstract
BACKGROUNDS: The quality of life and survival of elderly depend not only on their age but on many social and health factors. In the present study, comprehensive geriatric assessment (CGA) was made in elderly patients on regular hemodialysis (HD) and those without chronic kidney disease recruited in primary health care in order to compare their sociodemographic characteristics, physical health, functional ability and social support. METHOD: The 106 HD patients and 300 primary care patients aged 70 years and more were studied. Data on sociodemographic characteristics, neurosensory deficits, pain, falls, polypharmacy, basic activities of daily living (ADL) questionnaire, instrumental activities of daily living (IADL) questionnaire were obtained during interview. The Timed Up and Go, Nutritional Health Checklist, Two Question Instrument for depression and Charlson comorbidity index (CCI) were applied. RESULTS: No significant differences were found for age, gender, education level and dwelling between the two groups. A lower percentage of HD patients lived alone when compared with controls. BMI >25 kg/m(2) had 43.4% of HD patients and 49.3% of controls. CCI differed significantly between HD and primary care patients (median: 6 vs. 4) and significantly more HD patients reported depression. No significant difference was found between groups for cognitive dysfunction and ADL, but HD patients had significantly lower IADL scores than controls. The mobility of HD patients was worse; 45.7% of them reported falls in the previous year but only 9.7% from the controls. CONCLUSIONS: CGA revealed that HD patients had significantly higher CCI, worse IADL score, mobility and reported more frequent falls, depression and impaired vision than primary care patients.
BACKGROUNDS: The quality of life and survival of elderly depend not only on their age but on many social and health factors. In the present study, comprehensive geriatric assessment (CGA) was made in elderly patients on regular hemodialysis (HD) and those without chronic kidney disease recruited in primary health care in order to compare their sociodemographic characteristics, physical health, functional ability and social support. METHOD: The 106 HDpatients and 300 primary care patients aged 70 years and more were studied. Data on sociodemographic characteristics, neurosensory deficits, pain, falls, polypharmacy, basic activities of daily living (ADL) questionnaire, instrumental activities of daily living (IADL) questionnaire were obtained during interview. The Timed Up and Go, Nutritional Health Checklist, Two Question Instrument for depression and Charlson comorbidity index (CCI) were applied. RESULTS: No significant differences were found for age, gender, education level and dwelling between the two groups. A lower percentage of HDpatients lived alone when compared with controls. BMI >25 kg/m(2) had 43.4% of HDpatients and 49.3% of controls. CCI differed significantly between HD and primary care patients (median: 6 vs. 4) and significantly more HDpatients reported depression. No significant difference was found between groups for cognitive dysfunction and ADL, but HDpatients had significantly lower IADL scores than controls. The mobility of HDpatients was worse; 45.7% of them reported falls in the previous year but only 9.7% from the controls. CONCLUSIONS: CGA revealed that HDpatients had significantly higher CCI, worse IADL score, mobility and reported more frequent falls, depression and impaired vision than primary care patients.
Entities:
Keywords:
Comprehensive geriatric assessment; hemodialysis; primary care patients
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