Introduction:

The age of patients on hemodialysis is increasing, presenting greater deterioration.

Objectives:

To know the situation of the elderly patient on hemodialysis, categorizing our population. Analyze the relationship between the scales of functionality, malnutrition and comorbidity.

Method:

Cross-sectional descriptive study, patients 75-95 years old. Were measured: a) Comorbidity-CHARLSON: high (>6 points). b) Nutrition-MISS: extremely malnourished (<10 points); very severe malnutrition (>7-10 points); mo derate-severe (>5-7 points); mild-moderate (>2-5 points); normonourished (<2 points); c) Dependence-BARTHEL, independent (100 points); dependency level (91-99 points); moderate (61-90 points); severe (21-60 points); totals (<20 points). d) Frailty-FRAIL, without frailty (0 points); prefragile (1-2 points); fragile (>3 points).

Results:

60 patients, 68% (41) men, mean age 81.85±5.58 years and HD time 49.88±40.29 months. Most prevalent etiology, diabetes mellitus (28%). MIS: 6.01±3.80 points. classifying 8 (13%) as normonourished, 24 (40%) as mild-moderate mal nutrition, 10 (17%) as moderate-severe malnutrition, 13 (22%) as very severe malnutrition, and 5 (8%) as extremely malnourished. BARTHEL: 88.16±18.59 points, classified 32 (53%) independent, 6 (10%) mild dependence, 17 (28%) moderate de pendence, 4 (7%) severe dependence, 1 (2%) dependence total. FRAGILE: 1.98±1.32pts, classified 10 (17%) non-frail, 31 (51%) pre-frail and 19 (32%) frail. CHARLSON: 10.01±2.20 points. Presenting 60 (100%) high comorbidity. CHARLSON presented differences between sex, higher in men (p=0.002). High coincidence was found between Barthel and Frail (r=0.647, p<0.001), moderate between MIS and Barthel (r=0.556, p<0.001) and MIS and Frail (r=0.455, p<0.001). Charlson was the scale with the worst correlation.

Conclusions:

The results showed a great general deterioration of elderly patients on dialysis, highlighting the need for individualised treatments focused on their recovery, including the dialysis technique itself.

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