Avaliação Geriátrica em Nefrologia
DOI:
https://doi.org/10.24950/rspmi.2721Palavras-chave:
Avaliação Geriátrica, Falência Renal Crónica, Idoso, Insuficiência Renal CrónicaResumo
O envelhecimento é um dos maiores desafios do século XXI. A doença renal crónica (DRC) é particularmente frequente em doentes mais velhos, mas isso impõe considerações especiais nesta população que é muito heterogénea. A identificação de fragilidade ou outra síndrome geriátrica por uma avaliação geriátrica abrangente (AGA) pode mudar o prognóstico, a qualidade de vida, a hospitalização ou mesmo a mortalidade, como foi demonstrado em Oncologia. Várias diretrizes recomendam a triagem da fragilidade em doentes idosos com DRC. A avaliação geriátrica adaptada à nefrologia (NGA) pode ser uma ferramenta útil para a tomada de decisão partilhada na doença renal em estádio avançado em idosos, embora essa não seja a prática em Portugal. Neste artigo, refletimos sobre o benefício da AGA ou da NGA na prática clínica em Nefrologia.
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