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Volumen 25 nº 1 2022
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November 20, 2021
Published
March 30, 2022
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Abstract

Introduction: The age of patients on hemodialysis is increasing, presenting greater deterioration.


Objectives: To know the situation of the elderly patient on hemodialysis, categorizing our population. Analyze the relationship between the scales of functionality, malnutrition and comorbidity.


Method: Cross-sectional descriptive study, patients 75-95 years old. Were measured: a) Comorbidity-CHARLSON: high (>6 points). b) Nutrition-MISS: extremely malnourished (<10 points); very severe malnutrition (>7-10 points); moderate-severe (>5-7 points.); mild-moderate (>2-5 points); normonourished (<2 points.); c) Dependence-BARTHEL, independent (100 points.); dependency level (91-99 points.); moderate (61-90 points); severe (21-60 points); totals (<20 points). d) Frailty-FRAIL, without frailty (0 points); prefragile (1-2 points); fragile (>3 points).


Results: 60 patients, 68%(41) men, mean age 81.85±5.58 years and HD time 49.88±40.29 months. Most prevalent etiology, diabetes mellitus (28%). MIS: 6.01±3.80 points. classifying 8(13%) as normonourished, 24(40%) as mild-moderate malnutrition, 10(17%) as moderate-severe malnutrition, 13(22%) as very severe malnutrition, and 5 (8%) as extremely malnourished. BARTHEL:88.16±18.59 points, classified 32(53%) independent, 6(10%) mild dependence, 17(28%) moderate dependence, 4(7%) severe dependence, 1(2%) dependence total. FRAGILE:1.98±1.32 points, classified 10(17%) non-frail, 31(51%) pre-frail and 19(32%) frail. CHARLSON:10.01±2.20 points. Presenting 60(100%) high comorbidity. CHARLSON presented differences between sex, higher in men (p=0.002). High coincidence was found between Barthel and Frail (r=0.647, p<0.001), moderate between MIS and Barthel (r=0.556, p<0.001) and MIS and Frail (r=0.455, p<0.001). Charlson was the scale with the worst correlation.


Conclusions: The results showed a great general deteriora­tion of elderly patients on dialysis, highlighting the need for individualised treatments focused on their recovery, inclu­ding the dialysis technique itself.

Keywords

haemodialysis elderly malnutrition dependency frailty comorbidity

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Sánchez-Tocino ML, Miranda-Serrano B, Villoria-González S, Pereira-García M, López-González A, González-Parra E. Functional classification of the elderly haemodialysis patient and its influence on individualisation of treatment. Enferm Nefrol [Internet]. 2022 [cited 2025 Apr 30];25(1):[about 10 p.]. Available from: https://www.enfermerianefrologica.com/revista/article/view/4438
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