RT Journal
A1 Chester A, Rakowski TA, Argy WP, Jr, Giacalone A, Schreiner GE
T1 HEmodialysis in the eighth and ninth decades of life
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1979
FD September 1
VO 139
IS 9
SP 1001
OP 1005
DO 10.1001/archinte.1979.03630460037014
UL http://dx.doi.org/10.1001/archinte.1979.03630460037014
AB 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)