Therapeutic plasmapheresis in geriatric patients: Favorable results |
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| Authors: | Pinar Ataca Oya Adsiz Marasuna Erol Ayyildiz Meltem Bay Osman Ilhan |
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| Affiliation: | 1. Department of Hematology and BMT Unit, Ankara University Faculty of Medicine, Cebeci Campus, 06590, Dikimevi, Ankara, Turkey;2. Department of Nursing, Ankara University Faculty of Medicine, Altindag Campus, 06340 Altindag, Ankara, Turkey;3. Therapeutic Apheresis Unit, Department of Hematology and BMT Unit, Ankara University Faculty of Medicine, Cebeci Campus, 06590, Dikimevi, Ankara, Turkey;1. Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA;2. Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA;3. Department of Cardiovascular Sciences, East Carolina Heart Institute, East Carolina University, Greenville, NC, USA;4. Department of Cardiology, Icahan School of Medicine at Mount Sinai, New York, NY, USA;5. Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA;6. Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, AL, USA;7. Department of Internal Medicine, Section on Cardiology, Wake Forest School of Medicine, Winston-Salem, NC, USA;8. Epidemiological Cardiology Research Center (EPICARE), Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston Salem, NC, USA;1. Department of Anesthesiology, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota;2. Department of Orthopedic Surgery, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota;3. Department of Health Sciences Research, Division of Biostatistics and Informatics, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota |
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| Abstract: | Therapeutic plasma exchange is generally a tolerable procedure, although several complications should be considered. Since geriatric population has been growing worldwide, the aim of this study was to retrospectively analyze 4709 TPE data from 981 geriatric procedures (20.8%) and to compare them with 3728 non-geriatric procedures (79.2%). The most common indications for TPE in both groups were sepsis/adult respiratory distress syndrome and multiple organ dysfunction. In geriatric patient group, contrary to expectations of aggravation, complication rate was statistically similar with non-geriatric group (P > 0.05). Therefore, TPE appeared to be a safe procedure in geriatric patients when performed by experienced practitioners. |
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