Physical function management for elderly dialysis patients: prevention and improvement of frailty and disability

Renal Replacement Therapy

Review

Yuki Kawaguchi¹  Ken Tsuchiya¹  Norio Hanafusa¹  Kosaku Nitta² 

[1] Department of Blood Purification, Tokyo Women’s Medical University, Tokyo, Japan;Department of Nephrology, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan;

关键词: Frailty;    Chronic kidney disease;    Dialysis;    Mortality;    Intervention;   

DOI  :  10.1186/s41100-023-00459-2

 received in 2022-08-29, accepted in 2023-01-05,  发布年份 2023

来源: Springer

【 摘 要 】

Frailty has become an emerging public health problem in the aging society and is regarded as a state of vulnerability to developing increased dependency and/or mortality when exposed to a stressor. As the proportion of elderly dialysis patients is increasing worldwide, frailty has recently influenced on the clinical outcomes among those patients also caused great attention. The prevalence of frailty among dialysis patients has ranged from 3.0- to 10-fold higher than in community-dwelling elderly. Since frailty has been found to be associated with higher mortality, independent of clinical characteristics and comorbidity, interventions to improve frailty have the potential to contribute to better quality of life and lower mortality among dialysis patients. Moreover, clinical research should be focused on the possibility that early rehabilitation of dialysis patients might improve poor outcomes. Current clinical question should aim to take an appropriate strategy to address frailty, including identifying the optimal timing for intervention.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 3

Fig. 3

Fig. 3