Table of Contents
Journal of Geriatrics
Volume 2016 (2016), Article ID 2310596, 8 pages
http://dx.doi.org/10.1155/2016/2310596
Research Article

Haemodialysis in the Octogenarian: More Than a Decade of Experience from a Single UK Centre

Department of Nephrology, Birmingham Heartlands Hospital, Bordesley Green East, Birmingham, West Midlands B9 5SS, UK

Received 27 August 2015; Accepted 8 December 2015

Academic Editor: Motoo Kikuchi

Copyright © 2016 Philip Thomas 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

Background. To assess factors affecting survival in an octogenarian cohort commencing haemodialysis (HD) and describe outcomes associated with prolonged survival. Materials and Methods. We retrospectively analysed 11 years of data (1 January 2000–31 December 2010) from patients aged ≥ 80 years starting HD at a teaching hospital in the United Kingdom. Data was collected on patient demographics, aetiology of renal failure, indication and duration of HD, access type at first dialysis, Charlson comorbidity index score, and cause of death. Results. Data from 139 eligible patients was included for analysis (85 male, 54 female (1.54 : 1)). The mean age was years and 90% of this cohort were Caucasian. Thirty percent (42/139) of the cohort died within 90 days of starting dialysis. For those who survived >90 days the mean (median) duration of HD was 871.8 (805) days. Long-term survival was more common in females and those who first dialysed through an AVF. Conclusions. There is a significant early mortality risk in octogenarians commencing HD. For individuals who survive beyond the initial 90 days, the majority have a good long-term survival and our results are better than previously published UK data. Long-term survival was more common in female patients and those starting HD using an AVF.