caa a22 4500 477113893 CHVBK 20180405111617.0 cr unu---uuuuu 170330e19960101xx s 000 0 eng 10.1007/BF00451110 doi (NATIONALLICENCE)springer-10.1007/BF00451110 Peritoneal dialysis in the nineth decade of life experience in a single center [Elektronische Daten] [Amedeo De Vecchi, Massimo Maccario, Claudio Ponticelli] The clinical outcome of 21 patients on CAPD who were older than 79 years at the time of beginning dialysis is reported in the present paper. These patients represented 5% of 420 patients who were admitted to the CAPD program of our Unit between 1980 and 1995. Fifteen of the patients were men and 6 women, with a mean age of 81 ± 3 years. The median patient survival was 21 months, after 3 years patient survival rate was 30%. The causes of death were cardiovascular (7), cachexia (4), peritonitis (1), liver failure (1) and withdrawal of dialysis (2). The peritonitis rate was 0.6 episodes/year, 45% of episodes were caused by gram + bacteria, 23% by gram - bacteria and in the other episodes peritoneal fluid culture was not performed or no growth was observed. Exit site infection rate was 1 episode every 32 months. Three peritoneal catheters were removed after 1, 14, and 23 months. Most severe complications were dementia (5) and depression (4), severe peripheral vascular disease with pain and ulcers in 3 cases. Quality of life was poor in 4/11 patients surviving after one year. Sixteen patients required a partner for performing the exchanges and many of them needed frequent hospitalization or equivalent care at home. Kluwer Academic Publishers, 1996 peritoneal dialysis nationallicence complications nationallicence indications nationallicence dialysis withdrawal nationallicence geriatrics nationallicence CAPD : continuous ambulatory peritoneal dialysis nationallicence HB : hepatitis B nationallicence De Vecchi Amedeo Divisione di Nefrologia e Dialisi, IRCCS Ospedale Maggiore, Via Commenda 15, 20122, Milano, Italy aut Maccario Massimo Divisione di Nefrologia e Dialisi, IRCCS Ospedale Maggiore, Via Commenda 15, 20122, Milano, Italy aut Ponticelli Claudio Divisione di Nefrologia e Dialisi, IRCCS Ospedale Maggiore, Via Commenda 15, 20122, Milano, Italy aut Geriatric Nephrology and Urology Kluwer Academic Publishers 6/2(1996-01-01), 75-80 0924-8455 6:2<75 1996 6 10715 https://doi.org/10.1007/BF00451110 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00451110 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- De Vecchi Amedeo Divisione di Nefrologia e Dialisi, IRCCS Ospedale Maggiore, Via Commenda 15, 20122, Milano, Italy aut NATIONALLICENCE 700 1- Maccario Massimo Divisione di Nefrologia e Dialisi, IRCCS Ospedale Maggiore, Via Commenda 15, 20122, Milano, Italy aut NATIONALLICENCE 700 1- Ponticelli Claudio Divisione di Nefrologia e Dialisi, IRCCS Ospedale Maggiore, Via Commenda 15, 20122, Milano, Italy aut NATIONALLICENCE 773 0- Geriatric Nephrology and Urology Kluwer Academic Publishers 6/2(1996-01-01), 75-80 0924-8455 6:2<75 1996 6 10715 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer