The Japanese Journal of Clinical Dialysis Vol.28 No.1(7-1)

Theme Problems Involved with Dialysis Therapy in the Elderly Medicine
Title Adequate dialysis for elderly dialysis patients
Publish Date 2012/01
Author Hideki Kawanishi Tsuchiya General Hospital
[ Summary ] The long term survival rates for elderly, dependent patients receiving dialysis, is difficult to analyse because they often have multiple extra-renal comorbidities. Adequate dialysis doses for elderly hemodialysis patients to be able to maintain their quality of life are recommended. Levels of spKt/V>1.2 are also suggested for younger patients. This dialysis dose is easily achieved with elderly patients because they tend to have low body weight levels. Protein loss and/or excessive solute removal must be closely monitored when deciding on prescriptions for hemodialysis patients. In addition, it must be kept in mind that, peritoneal dialysis is effective in maintaining proper adequate dialysis dose for elderly patients who have residual kidney functions. Individual prescriptions for dialysis treatment and strict observation of patient conditions are basic factors to provide adequate dialysis dose for elderly patients.
back