The utility of a structured evaluation of elderly patients for continuous peritoneal dialysis

J. L. Holley, C. J. Foulks

Research output: Contribution to journalArticlepeer-review

Abstract

The elderly comprise an increasing proportion of chronic dialysis patients. Recruiting them for continuous peritoneal dialysis (CPD) would help CPD programs maintain a patient population. We retrospectively studied the ability of a prospective evaluation to predict success with CPD in elderly (age >60 years) patients. PD nurses and a renal social worker assigned scores in 10 categories, which were then averaged to obtain an overall evaluation score. Scores were from 1-5 with 1 = good, 5 = poor, and 3 = average. Thirty-four elderly patients began CPD during the study period. Evaluation scores were available for 28 of these patients before they began dialysis. Evaluation scores <3 predicted success with CPD (2.2 ± 0.2 versus 3.2 ± 0.4 in patients transferring to hemodialysis, p < 0.02). Patient motivation and preference were the categories that predicted success with CPD. Elderly patients were more likely than younger patients (those <60 years of age) to decline CPD for social reasons (46% versus 4% respectively, p < 0.001). Elderly patients required more CPD training time than young patients (4.9 ± 0.7 days versus 3.3 ± 0.8 days respectively, p < 0.01). We conclude that a prospective assessment of elderly patients can predict success with CPD and provide information important to individual structuring of CPD training and follow-up.

Original languageEnglish (US)
Pages (from-to)162-165
Number of pages4
JournalPeritoneal Dialysis International
Volume11
Issue number2
DOIs
StatePublished - 1991
Externally publishedYes

Keywords

  • PD training
  • assessment
  • elderly and PD
  • outcome

ASJC Scopus subject areas

  • Nephrology

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