Incidence, predictors and prognosis of acute kidney injury in nonagenarians: an in-hospital cohort study.

ABSTRACT:

Background

Given the aging of the population, nephrologists are ever more frequently assisting nonagenarians with acute kidney injury (AKI). The management of these patients presents unique characteristics, including bioethical dilemmas, such as the utilization of renal replacement therapy (RRT) at this extreme age.

Methods

We conducted a retrospective cohort study at a tertiary hospital. Over a 10-year period, 832 nonagenarians were hospitalized for two or more days. A random sample of 461 patients was obtained; 25 subjects were excluded due to lack of essential data. AKI was defined and staged according to the Kidney Disease Improving Global Outcomes (KDIGO) criteria.

Results

We analyzed data from 436 patients, mean age 93.5 ± 3.3 years, 74.3% female; 76.4% required

SUBMITTER: Sousa ALB 

PROVIDER: S-EPMC6993395 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature