TY - JOUR
T1 - Mortality in patients with chronic kidney disease undergoing hemodialysis in a public hospital of Peru
AU - Herrera-Añazco, Percy
AU - Benites-Zapata, Vicente
AU - Hernandez, Adrian V.
AU - Mezones-Holguin, Edward
AU - Silveira-Chau, Manuela
PY - 2015/4/1
Y1 - 2015/4/1
N2 - OBJECTIVE: We evaluated mortality of a population with incident hemodialysis in a Peruvian public hospital as well as its associated factors.METHODS: Retrospective and descriptive study of a population over 18 years-old who started treatment between January 1, 2012 and December 31, 2013 with the final follow-up day on31 March 2014. We used bivariate and multivariate logistic regression models to evaluate factors associated with mortality and Kaplan Meier curves were used to determine the probability of survival.RESULTS: We included 235 patients with a mean age of 56.4 ± 15.8 years. Median follow-up was 0.6 years (IQR 0.3 to 1.5). 50% of years withdrew from therapy during the study for lack of financial resources or space available. The third month mortality was 37.7% (95% CI 4.7 to 48.5) and 49.5% (95% CI 5.8 to 61.4) at 7 months. There was a trend towards lower mortality when patients had more than 6 months with a diagnosis of chronic kidney disease (CKD) (OR = 0.39 [95% CI 0.12 to 1.27]) and when the patient was admitted with scheduled dialysis (OR = 0.28 [95% CI 0.01 to 2.28]).CONCLUSION: Half of patients died within seven months of follow-up. Scheduled dialysis and having longer time with CKD diagnosis tend to be associated with lower mortality.INTRODUCTION: The Peruvian Ministry of Health does not have a national program of hemodialysis and hospitals that offer it have coverage problems, which may result in increased mortality.
AB - OBJECTIVE: We evaluated mortality of a population with incident hemodialysis in a Peruvian public hospital as well as its associated factors.METHODS: Retrospective and descriptive study of a population over 18 years-old who started treatment between January 1, 2012 and December 31, 2013 with the final follow-up day on31 March 2014. We used bivariate and multivariate logistic regression models to evaluate factors associated with mortality and Kaplan Meier curves were used to determine the probability of survival.RESULTS: We included 235 patients with a mean age of 56.4 ± 15.8 years. Median follow-up was 0.6 years (IQR 0.3 to 1.5). 50% of years withdrew from therapy during the study for lack of financial resources or space available. The third month mortality was 37.7% (95% CI 4.7 to 48.5) and 49.5% (95% CI 5.8 to 61.4) at 7 months. There was a trend towards lower mortality when patients had more than 6 months with a diagnosis of chronic kidney disease (CKD) (OR = 0.39 [95% CI 0.12 to 1.27]) and when the patient was admitted with scheduled dialysis (OR = 0.28 [95% CI 0.01 to 2.28]).CONCLUSION: Half of patients died within seven months of follow-up. Scheduled dialysis and having longer time with CKD diagnosis tend to be associated with lower mortality.INTRODUCTION: The Peruvian Ministry of Health does not have a national program of hemodialysis and hospitals that offer it have coverage problems, which may result in increased mortality.
UR - http://www.scopus.com/inward/record.url?scp=85010312167&partnerID=8YFLogxK
U2 - 10.5935/0101-2800.20150031
DO - 10.5935/0101-2800.20150031
M3 - Article
C2 - 26154639
AN - SCOPUS:85010312167
SN - 0101-2800
VL - 37
SP - 192
EP - 197
JO - Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
JF - Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
IS - 2
ER -