Comprehensive geriatric assessment: comparison of elderly hemodialysis patients and primary care patients

Figures & data

Table 1. Sociodemographic characteristics, social activities and integration of elderly hemodialysis patients and the control group of primary care patients without chronic kidney disease.

Variable	HD patients (N = 106)	Control (N = 300)	p
Age, years (mean ± SD)	77.5 ± 4.0	77.7 ± 4.7	0.765
Gender – male, N (%)	73 (68.9%)	176 (58.7%)	0.082
Education level, N (%)
Primary school	80 (75.5%)	206 (68.6%)	0.302
Secondary school	23 (21.7 %)	89 (29.6%)
>Secondary school	3 (2.8%)	5 (1.6%)
Regular income, yes	85 (80.2%)	258 (86.0%)	0.155
Dwelling
Rural	46 (43.8%)	116 (38.7%)	0.355
Urban	60 (56.2%)	184 (61.3%)
Living arrangements, N (%)
Alone	21 (19.8%)	94 (31.3%)	0.003
With spouse	52 (49.1%)	142 (47.3%)
With children	32 (30.2%)	63 (21.0%)
Old people's home	1 (0.9%)	1 (0.33%)
Support during illness, N (%)
Family	94 (89.5%)	245 (81.7%)	0.121
Friends	6 (5.7%)	36 (12%)
Nurse	4 (3.8%)	8 (3.7%)
Nobody	1 (1.0%)	11 (3.7%)
Social activity
Hobby, yes	17 (16.0%)	67 (22.3%)	0.181
Socializing with friends, yes	72 (67.9%)	190 (63.3%)	0.334

Note: HD – hemodialysis.

Table 2. Physical health, cognition and mental health of two groups of elderly patients.

Variable	HD patients (N = 106)	Control (N = 300)	p
Nutrition
NHC score
0–2, good	17 (16.0%)	167 (55.7%)	<0.0001
3–5, moderate risk	58 (54.7%)	99 (33.0%)
≥6, high risk	31 (29.2%)	34 (11.3%)
BMI, kg/m^2
<18.5	6 (5.7%)	0
18.5–24.9	54 (50.9%)	152 (50.7%)	<0.0001
25–29.0	35 (33.0%)	121 (40.3%)
≥30	11 (10.4%)	27 (9.0%)
Constipation, yes	37 (34.9%)	49 (16.3%)	<0.0001
Pain, yes	69 (65.1%)	174 (58.0%)	0.200
Charlson comorbidity index
<6	0	219 (73.0%)	<0.0001
6–8	100 (94.3%)	42 (14.0%)
>8	6 (5.7%)	47 (12.3%)
MCAI, correctly done tasks
<4	29 (30.5%)	128 (42.6%)	0.167
≥4	66 (69.5%)	172 (57.3%)
Depression, confirmed questions
One	35 (33.0%)	18 (6.0%)	<0.0001
Two	33 (31.1%)	44 (14.7%)

Notes: NHC – Nutritional Health Checklist, MCAI – Mini-Cognitive Assessment Instrument.

Figure 1. Distribution of patients according to the number of medications used daily.

Table 3. Comparison of functional status between elderly hemodialysis patients and primary health care patients.

Variable	HD patients (N = 106)	Control (N = 300)	p
Katz ADL index, score
0–3	7 (6.6%)	12 (4.0%)	0.152
4–6	11 (10.4%)	52 (17.3%)
>6	88 (83.0%)	236 (78.7%)
Lawton IADL index, score
0–6	27 (25.5%)	29 (9.7%)	<0.0001
7–11	23 (21.7%)	70 (23.3%)
>11	56 (52.8%)	201 (67.0%)
Neurosensory deficits
Impaired vision, yes	79 (74.5%)	109 (36.3%)	<0.0001
Impaired hearing, yes	42 (39.6%)	100 (33.3%)	0.243
Mobility
“Get up and go” test
<10 s	45 (42.5 %)	208 (69.3%)	<0.0001
10–20 s	25 (23.6%)	53 (17.7%)
20–30 s	14 (13.2%)	18 (6.0%)
>30 s	12 (11.3%)	21 (7.0%)
Use of walking device	10 (9.4%)	0
Falls, yes	48 (45.7%)	29 (9.7%)	<0.0001

Note: Data are presented as number (%) of patients.