Open AccessElderly with chronic kidney disease in outpatient treatment: risk factors and prevention pathways
Author(s) -
Е. В. Кудина,
Р. А. Скворцов,
В. Н. Ларина,
В. А. Жук,
М. З. Иванов
Publication year - 2021
Publication title -
rossijskij žurnal geriatričeskoj mediciny
Language(s) - English
Resource type - Journals
eISSN - 2686-8709
pISSN - 2686-8636
DOI - 10.37586/2686-8636-1-2021-53-59
Subject(s) - medicine , kidney disease , diabetes mellitus , medical prescription , intensive care medicine , disease , hyperlipidemia , outpatient clinic , physical therapy , pharmacology , endocrinology
. At present, doctors in all disciplines are facing an increasing problem of chronic kidney disease (CKD) management. It is particulary relevant for screening and treatment of aged patients, because they suffer from CKD most frequently. This is due both to physiological age characteristics and kidney disease risk factors of these patient’s category. Aim . To provide an analysis of the main causes and risk factors of CKD in elderly patients. Materials and methods. Analysis of outpatient charts of patients aged 55–90 with multiple chronic diseases observed in the local health service in Moscow, which is the base of the Department of Outpatient Therapy, RNRMU. Results. We analyzed the most significant risk factors of CKD and their frequency, the indications of this syndrome in the formulation of diagnosis, the prescription of drugs, providing nephroprotective strategy. Conclusion. CKD is one of the most frequent pathologies in the elderly. An analysis of the outpatient charts showed that the main causes of CKD among patients in this age group were not kidney diseases but comorbide pathology, primarily arterial hypertension. These patients also had high frequency of diabetes mellitus, hyperlipidemia, obesity. Not all patients have been identified with CKD in the structure of diagnosis, which could influence the correct tactics for treating related diseases. Nephroprotective therapy was also not fully available to patients. Current recommendations can be used by primary health-care doctors in practice.54