Older adults in hemodialysis programs: epidemiological and clinical aspects
Keywords:
older adult, chronic kidney disease, kidney dialysisAbstract
Introduction: Chronic kidney disease represents a global health problem. Aging has motivated the progressive inclusion of older adults in hemodialysis programs.
Objective: to characterize epidemiological and clinical aspects of older adults of the hemodialysis program.
Methods: Descriptive, cross-sectional study in 49 older adults in the renal dialysis program. Variables such as age group, sex, skin color, remission, etiology, intradialytic morbidity, dialysis session, vascular access and causes for admission were measured. Absolute and relative frequencies were used as summary measures and the chi-square (X2) independence hypothesis test for significance level p< 0.05.
Results: The group between 60 and 69 years old (71.4%), men and white-skinned patients (73.5%) prevailed. The most common etiology was hypertensive vascular nephropathy (36.7%) and late remission in more than half of the patients (65.3%); In the nocturnal hemodialysis session, hypotension, fever and chills were relevant (40.9%) for which there was a significant relationship. 65.3% had arteriovenous fistula, of which 34.4% had arterial hypotension. Hypertension (60.0%), fever and chills (53.3%) showed a significant association with the use of central venous catheter. Among the causes of admission, intravascular sepsis stood out (36.7%).
Conclusions: Hypertensive vascular nephropathy is a distinctive cause of end-stage chronic kidney disease in older adults. Fever and chills are common at night and in patients with a central venous catheter.
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Copyright (c) 2025 Arianna Barrientos Tamayo, Alejandro Eduardo Gutierrez Hernández, Alaen Vázquez Bermúdez, Aylin Machado Sosa, Dayana Brito Varea, Daniel Rodríguez Hurtado
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