IJCEMR

Article http://dx.doi.org/10.26855/ijcemr.2023.10.028

Analysis of Death and Related Factors Within 1 Year in Elderly Patients on Maintenance Hemodialysis

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Xingfeng Zhuo*, Yan Xu, Xu Huang, Jie Sun, Yao Yao

Outpatient Department, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China.

*Corresponding author: Xingfeng Zhuo

Published: November 30,2023

Abstract

Objective: To investigate the short-term (within 3 to 12 months) survival of elderly MHD patients and analyze the mortality risk factors of patients. Methods: The clinical data of 45 elderly patients with regular MHD treatment from January 2015 to December 2022 and died within 3 to 12 months were selected as the death group. Moreover, 45 elderly patients with regular MHD treatment and the survival period was more than 12 months were selected as the control group. The cause of death, basic clinical data, and la-boratory indicators were investigated. Results: The mean time from hemodialysis initiation to death for the 45 patients in the death group was (9.04 ± 2.16) months. The primary cases of diabetic nephropathy (42.22%) and hypertensive renal damage (28.89%), the causes of death: cardiovascular disease (46.67%) ranked first, and the causes of infection (22.22%) ranked second. Logistic Regression analysis, the results showed that advanced age, use of central venous catheter, low BMI, low PA, and combined diabetes were risk factors for short-term death in MHD patients (P <0.05). Conclusion: The primary disease of elderly MHD patients dying in the short term is mainly diabetic nephropathy, and the cause of death is the cause of cardiovascular disease. Early effective control of blood glucose and blood pressure, improved nutritional status, reasonable selection of vascular access, active pre-vention and treatment of cardiovascular disease and infection complications, which is helpful to prolong the survival time of elderly MHD patients.

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How to cite this paper

Analysis of Death and Related Factors Within 1 Year in Elderly Patients on Maintenance Hemodialysis

How to cite this paper: Xingfeng Zhuo, Yan Xu, Xu Huang, Jie Sun, Yao Yao. (2023) Analysis of Death and Related Factors Within 1 Year in Elderly Patients on Maintenance HemodialysisInternational Journal of Clinical and Experimental Medicine Research7(4), 673-676.

DOI: http://dx.doi.org/10.26855/ijcemr.2023.10.028