In:
Hemodialysis International, Wiley, Vol. 25, No. 3 ( 2021-07), p. 338-347
Abstract:
Impaired activities of daily living (ADL) and falls are important issues in hemodialysis patients. So far, information is limited regarding self‐reported difficulty with ADL (ADL difficulty) in hemodialysis patients. Then, we compared the degree of ADL difficulty and the prevalence of fallers between hemodialysis patients and a nondialyzed control group. Also, the possible association between ADL difficulty and falls was examined. Methods This was a single center, cross‐sectional study including two groups of outpatients aged 50 years or older; 209 prevalent hemodialysis patients, and 139 nonrenal patients with diabetes mellitus, hypertension, and/or dyslipidemia (control group). ADL difficulty score was evaluated by a 48‐item questionnaire including six subscales of ADLs namely locomotion, eating, toileting, dressing, bathing, and grooming. Experience of falls in the previous year period was examined by a questionnaire. Findings The two groups did not differ significantly in age or sex. The hemodialysis group had a higher median (interquartile range) total score of ADL difficulty than the control group [10 (2–39) vs. 2 (0–10); p 〈 0.001] and a higher prevalence of fallers (73/209, 34.9% vs. 16/139, 11.5%; p 〈 0.001). In multivariable‐adjusted linear regression analyses, history of falls was independently associated with a higher score of ADL difficulty for total or each of the six subscales. Discussion The hemodialysis patients had a significantly higher ADL difficulty and a higher prevalence of fallers than the control group. Self‐reported ADL difficulty and falls were closely linked regardless of the patient group.
Type of Medium:
Online Resource
ISSN:
1492-7535
,
1542-4758
Language:
English
Publisher:
Wiley
Publication Date:
2021
detail.hit.zdb_id:
2103570-2
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