Mortality of patients with terminal chronic renal disease in a Huánuco hospital, 2012-2016

Authors

DOI:

https://doi.org/10.35839/repis.3.1.250

Keywords:

Mortality, Chronic Kidney Disease, Peritoneal Dialysis

Abstract

Introduction. Chronic kidney disease (CKD) is considered a global public health problem and constitutes a progressive loss of renal function. In stage 5, known as terminal chronic kidney disease, the patient requires renal replacement therapy (RRT). This work seeks to capture whether the type of dialysis, the type of access and the total time of RRT are related to the mortality of patients with stage 5 CKD of the II-EsSalud hospital in Huánuco. Methods. Observational, analytical, retrospective design of cases and controls. 50 cases and 50 controls were identified. Statistical analyzes were performed through the Chi-2, Odds ratio test with a 95% confidence level. Results. The association between mortality and the risk factors studied was found as: the type of dialysis [P = 0.012; OR = 3.85 (95% CI: 1.27 - 11.63)], the type of access [P = 0.017; OR = 4.04 (95% CI: 1.21-13.43)] and the total time of RRT [P = 0.037; OR = 3.16 (95% CI: 1.03 - 9.68)], and 67.7% of patients were male. It was observed that they were associated with mortality: the age of the patient> 75 years, the male gender, the frequency of more than 3 dialysis per week and the place of origin. Conclusions. There is an association between the type of dialysis, the type of access and the total time of RRT with the mortality of patients with terminal CKD.

Downloads

Download data is not yet available.

References

Herrera A, Palacios G, Chipayo D. Mortalidad durante la primera hospitalización en una población que inicia diálisis crónica en un hospital general. An Fac Med 2013; Vol 74 (3) Pág. 199 – 202

Espinosa M. Enfermedad renal. Gac Med Mex. 2016;152 (1): 90-6.

Concepcion M, Cortegana J, Ocampo N, Gutierrez W. Factores de riesgo asociados a mortalidad en pacientes con enfermedad renal crónica terminal. Rev Soc Peru Med Interna 2015; vol 28 (2): 72-8

Caravaca F, Alvarado R, García G, Martínez R, Luna E. ¿Qué intervenciones terapéuticas durante el estadio prediálisis de la enfermedad renal crónica se asocian a una mejor supervivencia en diálisis?. Nefrologia. 2014;34(4):469-76

Neovius M, Jacobson S, Eriksson J, Elinder C, Hylander B. Mortality in chronic disease and renal replacement therapy: a population-based cohort study. BMJ Open 2014;4:1-9.

Cintra R, Antonio A, Saldanha F, Ronaldo J, Tzanno C. Brazilian chronic dialysis survey 2016. J Bras Nefrol 2017;39(3):261-266

Martínez Y, Toapanta N, Nava N, Barbosa F, Montes R, Guerrero M. supervivencia de pacientes de edad avanzada (>=70 años) con enfermedad crónica estadios 4-5: diálisis vs tratamiento conservador. Nefrología. 2016; 36(3): 283-291

Huamán L, Postigo C, Contreras C. Características epidemiológicas de los pacientes que inician hemodiálisis crónica en el hospital Alberto sabogal sologuren 2015. Horiz Med 2016; 16 (2): 6-12.

Lakshminarayana G, Sheetal L, Mathew A, Rajesh R, Kurian G, Unni V. Hemodialysis outcomes and practice patterns in end-stage renal disease: Experience from a tertiary care hospital in Kerala. Indian J Nephrol. 2017; 27(1):51-7.

Belino C, Coelho A, Pereira S, Lopes D, Gomes A, Ventura A. Survival of hemodialysis patients: A new reality? Port J Nephrol Hypert. 2017; 31(1): 40.

Freire A, Kusumota L, Dos M, Luchetti F, Coelho M, Zanetti M. Peritonitis e infección del orificio de salida del catéter en pacientes en diálisis peritoneal en el domicilio. Rev. Latino-Am. 2015;23(5):902-9

Rufino J, García C, Vega N, Macía M, Hernández D, Rodríguez A, Maceira B, Lorenzo V. Diálisis peritoneal actual comparada con hemodiálisis: análisis de superviviencia a medio plazo en pacientes incidentes en diálisis en la comunidad canaria en los últimos años. Nefrologia 2011;31(2):174-84.

Herrera P, Palacios A, Chipayo D, Silveira M. Mortalidad durante la primera hospitalización en una población que inicia diálisis crónica en un hospital general. An Fac med. 2013;74(3):199-202

Lukowsky L, Kheifets L, Arah O, Nissenson A, Kalantar Z. Patterns and predictors of early mortality in incident hemodialusis patients: new insights. 2012. Am J Nephrol. 2012; 35(6): 548-58. https://www.ncbi.nlm.nih.gov/pubmed/

Published

2019-01-30

Issue

Section

Artículos originales

How to Cite

1.
Mortality of patients with terminal chronic renal disease in a Huánuco hospital, 2012-2016. Rev Peru Investig Salud [Internet]. 2019 Jan. 30 [cited 2025 Sep. 7];3(1):19-24. Available from: http://revistas.unheval.edu.pe/index.php/repis/article/view/250

Similar Articles

1-10 of 55

You may also start an advanced similarity search for this article.