The predictors of mortality in hemodialysis patients
Ibrahim Samir Ahmed Tolba;
Abstract
The rate of end stage renal disease (ESRD) and hemodialyis is increasing worldwide and these patients demonstrate greater all-cause mortality, and hospitalization rates when compared to those with normal renal function.
The present study aimed to describe the association between the recorded changes in clinical and laboratory parameters and mortality in hemodialysis patients. The study recruited 300 hemodialysis patients who died of different causes and selected variables were retrospectively analyzed over the 6 months period preceding death.
In the current study, we noted consistent decline of pre- dialytic systolic blood pressure in the studied patients from 126.8
± 31.6 mmHg six months before death to 113.4 ± 24.2 mmHg one month before death.
Regarding IDWG, we noted a significant trend of decreased IDWG% over the study period from 4.6 ± 0.7 % at six months before death to 1.9 ± 0.9 % one month before death.
In our study, hemoglobin showed significant decline over the study period from 10.8 ± 1.0 g/dl at six months to 8.9 ± 1.2 g/dl at one month before death.
Another important finding in the present study is the significant decline of serum albumin levels over time from 3.8 ±
0.3 g/dl at six months before death to 2.7 ± 0.4 g/dl one month before death.
Importantly, this study found significant increase in CRP levels throughout the follow up time from 8.9 ± 2.4 mg/dl at six months to 21.2 ± 6.1 mg/dl at one month before death.
Finally, the present study identified significant decline in serum phosphorous levels from 5.0 ± 0.6 mg/dl at six mont
The present study aimed to describe the association between the recorded changes in clinical and laboratory parameters and mortality in hemodialysis patients. The study recruited 300 hemodialysis patients who died of different causes and selected variables were retrospectively analyzed over the 6 months period preceding death.
In the current study, we noted consistent decline of pre- dialytic systolic blood pressure in the studied patients from 126.8
± 31.6 mmHg six months before death to 113.4 ± 24.2 mmHg one month before death.
Regarding IDWG, we noted a significant trend of decreased IDWG% over the study period from 4.6 ± 0.7 % at six months before death to 1.9 ± 0.9 % one month before death.
In our study, hemoglobin showed significant decline over the study period from 10.8 ± 1.0 g/dl at six months to 8.9 ± 1.2 g/dl at one month before death.
Another important finding in the present study is the significant decline of serum albumin levels over time from 3.8 ±
0.3 g/dl at six months before death to 2.7 ± 0.4 g/dl one month before death.
Importantly, this study found significant increase in CRP levels throughout the follow up time from 8.9 ± 2.4 mg/dl at six months to 21.2 ± 6.1 mg/dl at one month before death.
Finally, the present study identified significant decline in serum phosphorous levels from 5.0 ± 0.6 mg/dl at six mont
Other data
| Title | The predictors of mortality in hemodialysis patients | Other Titles | المؤشرات التنبؤية لحدوث الوفاة فى مرضى الغسيل الكلوى | Authors | Ibrahim Samir Ahmed Tolba | Issue Date | 2017 |
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