Kidney aging process and the management of the elderly patient with renal impairment (Review).

Raluca Ioana Papacocea, Delia Timofte, Maria-Daniela Tanasescu, Andra-Elena Balcangiu-Stroescu, Daniela Gabriela Balan, Adrian Tulin, Ovidiu Stiru, Ileana Adela Vacaroiu, Andrada Mihai, Cristian Constantin Popa, Cristina-Ileana Cosconel, Mihaly Enyedi, Daniela Miricescu, Laura Raducu, Dorin Ionescu
Author Information
  1. Raluca Ioana Papacocea: Discipline of Physiology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  2. Delia Timofte: Department of Dialysis, Emergency University Hospital, 050098 Bucharest, Romania.
  3. Maria-Daniela Tanasescu: Department of Medical Semiology, Discipline of Internal Medicine I and Nephrology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  4. Andra-Elena Balcangiu-Stroescu: Department of Dialysis, Emergency University Hospital, 050098 Bucharest, Romania.
  5. Daniela Gabriela Balan: Discipline of Physiology, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  6. Adrian Tulin: Department of Anatomy, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  7. Ovidiu Stiru: Department of Cardiovascular Surgery, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  8. Ileana Adela Vacaroiu: Department of Nephrology and Dialysis, St. John Emergency Clinical Hospital, 042122 Bucharest, Romania.
  9. Andrada Mihai: Discipline of Diabetes, Nutrition and Metabolic Diseases-N. Paulescu National Institute, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  10. Cristian Constantin Popa: Department of Surgery, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  11. Cristina-Ileana Cosconel: Discipline of Foreign Languages, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  12. Mihaly Enyedi: Department of Anatomy, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  13. Daniela Miricescu: Discipline of Biochemistry, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  14. Laura Raducu: Discipline of Plastic and Reconstructive Surgery, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
  15. Dorin Ionescu: Department of Dialysis, Emergency University Hospital, 050098 Bucharest, Romania.

Abstract

As life expectancy increases, a rise in the number of chronically ill patients is observed due to the aging population. Among the various diseases, chronic kidney disease is at present one of the main causes of morbidity and, due to its typical complications, it is also one of the most important causes of mortality in the general population. For these reasons, the understanding of the kidney aging process, its consequences and its adequate management are essential. The judicious use of certain types of drugs, the prevention of episodes of renal injury either by toxic mechanisms or by dehydration are important aspects and are part of the apropriate approach for elderly patients. The most effective treatment of various types of conditions with a negative impact on renal function and for which an increased incidence is known as we age should also be considered. Thus, in the case of elderly patients, in order to protect the kidneys, an integrative approach is recommended, one that includes both elements of prevention and the appropriate treatment of existing diseases.

Keywords

References

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