Premium
Low blood pressure is associated with acute kidney injury development and mortality in octogenarians admitted to the emergency room
Author(s) -
Abu Alfeilat Mohsen,
Slotki Itzchak,
Shavit Linda
Publication year - 2019
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.13735
Subject(s) - medicine , hypoalbuminemia , acute kidney injury , blood pressure , incidence (geometry) , kidney disease , observational study , single center , prospective cohort study , emergency department , rifle , multivariate analysis , emergency medicine , physics , psychiatry , optics , archaeology , history
Aim The aim of the present study was to evaluate the incidence, risk factors, clinical characteristics and outcomes of acute kidney injury (AKI) in octogenarians admitted to the emergency room, and to compare these parameters with those in a younger group of patients admitted in the same period. Methods This is a prospective, observational, single‐center study that enrolled adult patients admitted to the emergency room of Shaare Zedek Medical Center, Jerusalem, Israel. Patients were stratified by age (≥80 years or <80 years) and followed up prospectively until discharge. The incidence of AKI, in‐hospital mortality and duration of hospital stay were recorded. Results Of 319 patients, 128 were octogenarians (mean age 86.7 years, range 80–105 years) and 191 were younger (mean age 60.6 years, range 18–79 years). The incidence of AKI and in‐hospital mortality was significantly higher in octogenarians (16.4% vs 12.6%, P = 0.039 and 15.6% vs 3.1%, P = 0.001, respectively). In multivariate analysis, only low systolic blood pressure at admission in octogenarians ( P = 0.002), and a history of chronic kidney disease ( P < 0.001) and hypoalbuminemia ( P = 0.001) in the younger patients were independent risk factors for AKI. Conclusion The present results confirm the observation that AKI is common in octogenarians. We identified systolic blood pressure as the only independent variable associated with AKI in octogenarians. However, the role of therapeutic strategies aimed to increase systolic blood pressure and diminish complications in octogenarians remains to be elucidated. Geriatr Gerontol Int 2019; 19: 874–878 .