[Contributions of a geriatric outpatient consultation in a dialysis facility].
Apports d’une consultation gériatrique dans une association d’antennes d’auto-dialyse.
Advanced chronic kidney disease
Comprehensive geriatric assessment
Geriatric syndromes
Hemodialysis
Hémodialyse
Insuffisance rénale chronique avancée
Multidisciplinary team
Syndromes gériatriques
Équipe multidisciplinaire
Évaluation gériatrique multi-domaines
Journal
Nephrologie & therapeutique
ISSN: 1872-9177
Titre abrégé: Nephrol Ther
Pays: France
ID NLM: 101248950
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
03
11
2019
revised:
16
04
2020
accepted:
10
07
2020
pubmed:
4
11
2020
medline:
29
10
2021
entrez:
3
11
2020
Statut:
ppublish
Résumé
The role of comprehensive geriatric assessment for older patients with advanced chronic kidney disease still needs to be defined. In this population, data is lacking on the care proposals made by geriatricians during comprehensive geriatric assessment and on the follow-up of these proposals. To describe a population of older outpatients with advanced renal disease seen at a geriatric consultation, and geriatric syndromes identified. To study care suggestions made by the geriatrician, and the follow-up of these suggestions. Retrospective monocentric study, including all outpatients treated with hemodialysis and seen at the geriatric consultation implemented in a dialysis facilities network in Aquitaine region, France, from 2014 to 2017. Six domains were analysed: functional independence, cognition, gait/balance, mood, nutrition and drug prescription. Among 49 patients, mean age 79 years, 50% had a loss of independence, 32% cognitive impairment, 24% mood disturbance, 55% gait or balance disturbance, and 65% potentially inappropriate medications. The most frequent care suggestions of the geriatrician were drugs optimisation, intervention of a psychologist, a dietetician or a speech and language therapist, home support service implementation, and the exploration of cognitive impairment. Suggestions of intervention of other healthcare professionals, drug optimisation and biological/imaging tests were followed in respectively 46, 33 and 18% of cases. A geriatric outpatient consultation in a nephrology facility allows identification of frequent and multiples geriatric syndromes, requiring coordinated interventions. Collaboration between healthcare professionals, including a geriatrician, should be reinforced to improve design and follow-up of the individualised care plan for older patients with advanced chronic kidney disease.
Identifiants
pubmed: 33139228
pii: S1769-7255(20)30355-2
doi: 10.1016/j.nephro.2020.07.210
pii:
doi:
Types de publication
Journal Article
Langues
fre
Sous-ensembles de citation
IM
Pagination
364-371Informations de copyright
Copyright © 2020 Société francophone de néphrologie, dialyse et transplantation. Published by Elsevier Masson SAS. All rights reserved.