Abstract:

Introduction: In addition to the increased prevalence of dialytic treatments for recent renal disease worldwide, the death rates among hemodial patients continue to be higher than the general population. This study aims to assess the factors associated with long-term survival in patients with stable hemodialysis. Method: This prospective cutting five-year tracking study included a total of 100 patients who began hemodialysis after February 2013. Patient demography, anthropometric-nutrition parameters, systolic and diastolic blood pressure levels and renal insufficiency etiology, hemodialysis time, peritonal dialysis history, interdialysis weight gain and Kt/V hemodialysis parameters were recorded. The overall five-year survival rate was 56.6%. Five-year survival rate, younger age (71.4 per cent of the average and over 42.0 per cent, p=0.023), low systolic (secondly, 63.3 per cent, 50 per cent, p=0,005) and low diastolic (secondly, 62.5 per cent, 51.0 per cent, p=0.02) blood pressure, higher Kt/V (secondly, 46.9 per cent, 66.0 per cent, p=044), lower dialytic weight increase (secondly, 54.0 per cent, 32.7 per cent, p=0.026) and lower serum leptin levels (secondly, 63.3 per cent, 650 per cent, p=0.07 per cent) were higher in patients. Cox-regression analysis found that only systolic blood pressure (B=1.081, 95% GA, 0.152 to 0.756, p=0.08) was a significant risk factor for poor survival. The only risk factor for poor long-term survival in hemodialysis patients was high systolic blood pressure prior to dialysis. There is no significant impact on the long-term survival of malnutrition-inflammation, nutrition and inflammation prameters and anemia. (SETB-2021-06-187)

Keywords: