Abstract

HERAS BENITO, Manuel  and  FERNANDEZ REYES LUIS, María José. Predictors of progression of renal disease in the elderly patient. Enferm Nefrol [online]. 2019, vol.22, n.1, pp.19-25. ISSN 2255-3517.  https://dx.doi.org/10.4321/s2254-28842019000100004.

The kidney in elderly people suffers structural and functional changes, which makes it more vulnerable to kidney disease. The majority of the elderly with chronic kidney disease die before developing renal progression. However, the main group of patients that develop terminal nephropathy is that of people older than 65 years, representing diabetes mellitus and vascular causes the main etiologies. In this review, renal elements (glomerular filtration, proteinuria/albuminuria, potassium, acute renal failure and diuretics) and geriatric factors (functional, cognitive and frail state) are analyzed as predictors of renal disease progression. The identification of these factors will help to establish strategies for renal prevention and the prognosis of the disease in decision making.

Keywords : elderly; chronic kidney disease; acute renal failure; renal progression; prediction´s equations; frailty.

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