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Dialysing the Elderly Patient with Congestive Heart Failure: What Is Important to Know?

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Dialysis in Older Adults

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Abstract

The number of elderly patients surviving with increasing and more complex co-morbidity, especially in affluent countries, continues to grow exponentially. Elderly patients with the combination of chronic kidney disease stage 5 and congestive heart failure (CHF) have an increased risk of death. They should, if possible, be empowered to choose between conservative supportive care and dialysis. In countries without well-developed supportive palliative care programs, greater numbers of elderly patients with high co-morbidity scores, including CHF, withdraw from dialysis within the first few months of starting treatment [1]. This is particularly true for haemodialysis (HD). It is worth noting that a 4 h HD session may well expand into 8–10 h day, with the patient feeling too exhausted to do anything but to simply go to straight to bed on final arrival at home [2].

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Authors and Affiliations

  1. UCL Center for Nephrology, University College London Medical School, Royal Free Hospital, Rowland Hill Street, London, NW3 2PF, UK

    Andrew Davenport MD

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  1. Andrew Davenport MD
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Correspondence to Andrew Davenport MD .

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Editors and Affiliations

  1. University of Missouri Columbia, Div of Nephrology Department of Medicine, Columbia, Missouri, USA

    Madhukar Misra

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Davenport, A. (2016). Dialysing the Elderly Patient with Congestive Heart Failure: What Is Important to Know?. In: Misra, M. (eds) Dialysis in Older Adults. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-3320-4_12

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  • DOI: https://doi.org/10.1007/978-1-4939-3320-4_12

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-3318-1

  • Online ISBN: 978-1-4939-3320-4

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