EQUIVALENT FALL RISK IN ELDERLY PATIENTS ON HEMODIALYSIS AND PERITONEAL DIALYSIS

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dc.authoridulutas, ozkan/0000-0002-2155-8340
dc.authoridTomlinson, George/0000-0002-9328-6399
dc.authorwosidulutas, ozkan/ABI-6332-2020
dc.authorwosidTomlinson, George/L-5432-2016
dc.contributor.authorFarragher, Janine
dc.contributor.authorRajan, Tasleem
dc.contributor.authorChiu, Ernest
dc.contributor.authorUlutas, Ozkan
dc.contributor.authorTomlinson, George
dc.contributor.authorCook, Wendy L.
dc.contributor.authorJassal, Sarbjit V.
dc.date.accessioned2024-08-04T20:41:28Z
dc.date.available2024-08-04T20:41:28Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Accidental falls are common in the hemodialysis (HD) population. The high fall rate has been attributed to a combination of aging, kidney disease-related morbidity, and HD treatment-related hazards. We hypothesized that patients maintained on peritoneal dialysis (PD) would have fewer falls than those on chronic HD. The objective of this study was to compare the falls risk between cohorts of elderly patients maintained on HD and PD, using prospective data from a large academic dialysis facility. Methods: Patients aged 65 years or over on chronic in-hospital HD and PD at the University Health Network were recruited. Patients were followed biweekly, and falls occurring within the first year recorded. Fall risk between the 2 groups was compared using both crude and adjusted Poisson lognormal random effects modeling. Results: Out of 258 potential patients, 236 were recruited, assessed at baseline, and followed biweekly for falls. Of 74 PD patients, 40 (54%) experienced 86 falls while 76 out of 162 (47%) HD patients experienced a total of 305 falls (crude fall rate 1.25 vs 1.60 respectively, odds ratio [OR] falls in PD patients 0.78, 95% confidence interval [CI] 0.61 - 0.92, p = 0.04). After adjustment for differences in comorbidity, number of medications, and other demographic differences, PD patients were no less likely to experience accidental falls than HD patients (OR 1.63, 95% CI 0.88 - 3.04, p = 0.1). Conclusions: We conclude that accidental falls are equally common in the PD population and the HD population. These data argue against post-HD hypotension as the sole contributor to the high fall risk in the dialysis population.en_US
dc.description.sponsorshipPhysicians' Services Incorporated Foundation; Janssen, Canadaen_US
dc.description.sponsorshipThe authors have no financial conflicts of interest to declare. SVJ has received funds to provide training in geriatric nephrology from Janssen, Canada, and speaker honoraria from Baxter and Amgen, Canada. Funding was provided by Physicians' Services Incorporated Foundation.en_US
dc.identifier.doi10.3747/pdi.2014.00163
dc.identifier.endpage70en_US
dc.identifier.issn0896-8608
dc.identifier.issue1en_US
dc.identifier.pmid26634565en_US
dc.identifier.scopus2-s2.0-84957056652en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage67en_US
dc.identifier.urihttps://doi.org/10.3747/pdi.2014.00163
dc.identifier.urihttps://hdl.handle.net/11616/97152
dc.identifier.volume36en_US
dc.identifier.wosWOS:000369100000010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMultimed Incen_US
dc.relation.ispartofPeritoneal Dialysis Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAccidental fallsen_US
dc.subjectgeriatricen_US
dc.subjecthemodialysisen_US
dc.subjectperitoneal dialysisen_US
dc.titleEQUIVALENT FALL RISK IN ELDERLY PATIENTS ON HEMODIALYSIS AND PERITONEAL DIALYSISen_US
dc.typeArticleen_US

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