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Chronic Hemodialysis: Evaluation of Dialysis Adequacy and Mortality Publisher



Aghsaeifard Z1 ; Zendehdel A2, 3 ; Alizadeh R4 ; Salehnasab A5
Authors
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Authors Affiliations
  1. 1. Department of Internal Medicine, School of Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Geriatrics Department, Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Family Medicine Department, Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Anesthesiology and Intensive Care, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
  5. 5. Student Research Committee, Tehran University of Medical Sciences, Tehran, Iran

Source: Annals of Medicine and Surgery Published:2022


Abstract

Objective: Dialysis efficacy is one of the important issues in patients undergoing hemodialysis. This study aimed to determine the adequacy of dialysis with mortality and hospital admissions in patients undergoing hemodialysis. Methods: This retrospective cohort study was conducted on patients who underwent dialysis. Dialysis adequacy was measured based on the Kt/V criterion. Age, sex, disease etiology, duration of dialysis, and access dialysis were evaluated. Results: 128 patients with a mean age of 61.48 ± 13.36 years were included in the study. 8 patients had a history of kidney transplantation. The mean dialysis time in the patients was 4.30 ± 3.39 years. The mean Kt/V in the patients was 1.40 ± 1.8 years. Of the 128 patients, 53 were hospitalized for cardiac or renal reasons. The number of fatalities was 9 cases out of 128. The cause of death in all the cases was heart problems. There was a statistically significant correlation between the adequacy of dialysis in terms of Kt/V and mortality, but it was not associated with hospitalization. Conclusion: Inadequate dialysis in terms of Kt/V is likely to increase the rate of mortality among dialysis patients. © 2022 The Authors
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