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Journal of Aging Research
Volume 2017 (2017), Article ID 7624139, 5 pages
https://doi.org/10.1155/2017/7624139
Research Article

Frail Patient in Hemodialysis: A New Challenge in Nephrology—Incidence in Our Area, Barcelonès Nord and Maresme

1Nephrology Service, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
2Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol (IGTP), Can Ruti Campus, Badalona, Spain
3Agència de Gestió d’Ajuts Universitaris i de Recerca- (AGAUR-) REMAR, Barcelona, Spain
4Red Investigación Renal (REDinREN), Instituto Salud Carlos III, Madrid, Spain
5Diaverum Renal Services, Madrid, Spain

Correspondence should be addressed to Ioana Bancu

Received 11 June 2017; Revised 9 August 2017; Accepted 20 August 2017; Published 28 September 2017

Academic Editor: Jean-Francois Grosset

Copyright © 2017 Ioana Bancu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Labeling a patient as “frail” may be useful in assessing the prognosis and therapeutic approach. Objective. The aim of the study is to define a pattern of frailty among our dialysis population, to analyse the incidence and clinical evolution of these patients. Materials and Methods. We analysed a total of 320 patients with stage V chronic kidney disease (CKD) who were on hemodialysis between September 2014 and September 2015. To define a patient as frail we used the Fried phenotype model, and we added a new criteria-dialysis session length longer than 12 hours/week. Results. 5.6% of the 320 patients were frail. We found statistically significant differences regarding body mass index (BMI), hemoglobin (Hgb), and serum albumin, as well as the ability to perform the basic activities of daily living (), ability to ambulate () and perform transfers (). We found statistically significant differences between the two groups in terms of hospital admissions () and mortality (). Conclusion. 5.6% of the study population were frail, with lower BMI, serum albumin and hemoglobin, lower capacity for basic activities of daily living, ambulation, and transference, as well as higher morbidity and mortality.