Prevalence and risk factors associated with intradialysis mortality among renal failure patients in a tertiary hospital in a developing nation
| Autor: | Hamidu M. Liman, Muhammad A. Makusidi, Muawiya U. Zagga, Shehu Nuhu, Istifanus B. Bosan, Isah A. Umar, Abdullahi Sadeeq, Khadijat Idris, Peace Onyema |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Sahel Medical Journal, Vol 17, Iss 2, Pp 43-46 (2014) |
| Druh dokumentu: | article |
| ISSN: | 2321-6689 1118-8561 39907465 |
| DOI: | 10.4103/1118-8561.134471 |
| Popis: | Background: Hemodialysis is associated with potential risk of intradialysis death as a complication. We set out to determine some predialysis factors associated with intradialysis death in hemodialysis patients. Materials and Methods: We retrospectively reviewed the records of 457 patients who had hemodialysis at our facility over a 5-year period. Demographic and clinical data of patients who died during dialysis were compared with a control group made of the survivors of hemodialysis. Data was analyzed using SPSS IBM version 20. Numerical data were reported as mean ± SD. Comparison of means of continuous variables was done using student t-test. Chi square was used for comparing proportions. Multivariate logistic regression was done to determine the independent determinants of intradialysis mortality. P value < 0.05 was considered significant. Results: Of the 457 patients who had hemodialysis, 20 (4.4%) died while on hemodialysis during the review period. They were aged 47.35 ± 21.16 years (range, 16-85 years). The deceased were more likely to be elderly (P = 0.003), have pre dialysis hypotension (P < 0.004), depressed level of consciousness (P < 0.0001), predialysis pulmonary edema, and hospital admission (P = 0.047). Multivariate regression analysis identified low Glasgow coma scale (coma) as an independent risk factor for intradialysis death (P < 0.017). Conclusion: Intradialysis mortality risk is increased in a setting of elderly patients, impaired level of consciousness, pulmonary edema, and predialysis hypotension. |
| Databáze: | Directory of Open Access Journals |
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