September 1979, Vol 139, No. 9 >

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ARTICLE | September 1979

Hemodialysis in the Eighth and Ninth Decades of Life

Alexander C Chester, MD; Thomas A. Rakowski, MD; William P. Argy, MD; Anna Giacalone, MD; George E. Schreiner, MD

Arch Intern Med. 1979;139(9):1001-1005. doi:10.1001/archinte.1979.03630460037014.

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In a review of 45 patients who started receiving hemodialysis (HD) after the age of 70 years (mean, 75 years), compared with a control of 70 HD patients (mean age, 42 years), the two-year survival for elderly patients was 42% and 58% for controls. In the elderly group, age did not correlate with survival. Nine elderly patients were over 80 years old and had a two-year survival of 41%. The elderly patients had a significantly lower mean predialysis blood pressure (BP) (142/73 ± 3/1 mm Hg) than the controls (158/88 ± 2/1 mm Hg) (P <.001). Only 13% of the elderly patients received antihypertensive medication, compared with 41% of controls (P <.01). The BP showed a significant negative correlation with age in both elderly (r = -.41, P <.01) and control (r = -.35, P <.001) patients. Glomerulonephritis was less common in the elderly (9%) than control (31%) groups, and pyelonephritis was more common (29% vs 16%).

(Arch Intern Med 139:1001-1005, 1979)

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Chester A, Rakowski TA, Argy WP, Jr, Giacalone A, Schreiner GE. Hemodialysis in the Eighth and Ninth Decades of Life. Arch Intern Med. 1979;139(9):1001-1005. doi:10.1001/archinte.1979.03630460037014.

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