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Abstract
Background: Frailty is a geriatric syndrome which is associated with an increased incidence of adverse clinical outcomes in the elderly. Frailty is particularly high > 60% in elderly patients with end - stage renal disease undergoing hemodialysis. However, research on frailty for this special populationhas not been done in Vietnam.
Objective: To determine the prevalence of frailty according to the Canadian Clinical Frailty Scale (CFS) and investigate factors related to frailty in elderly patients with end - stage renal diseaseunder hemodialysis.
Methods: Cross - sectional study and longitudinal follow - up, performed on 175 elderly patients with end - stage renal disease on maintenance hemodialysis at the Department of Nephrology at Trung Vuong Hospital and Thong Nhat Hospitalfrom November 2020 to June 2021.
Results: The prevalence of frailty in elderly patients with end - stage renal disease on maintenance hemodialysis was 69.7%. After multivariate regression analysis, there was a relationship between frailty and age (PR = 1.23; 95% CI: 1.12 - 1.35; p < 0.001); malnutrition (PR = 2.17; 95% CI: 1.61 - 2.92; p < 0.001) and risk of malnutrition according to the MNA-SF scale (PR = 1.47; 95% CI: 1.27 - 1.71; p < 0.001); risk of falling (PR = 1.63; 95% CI: 1.28 - 2.07; p < 0.001).
Conclusion: The prevalence of frailty was very high in elderly patients with end-stage renal disease on maintenance hemodialysis and frailty was independently associated with age, malnutrition, and falls.
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| Published | 09-01-2025 | |
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| Issue | No. 73 (2021) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2021.73.4 | |
| Keywords | Từ khóa: Suy yếu, người cao tuổi, suy thận mạn giai đoạn cuối, lọc máu chu kỳ Keywords: Frailty, clinical frailty scale, elderly people, end - stage renal disease, hemodialysis. |
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