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혈액투석중인 만성신부전 환자의 사망률에 영향을 미치는 요인부석
김경석(K . S . Kim),김진구(J . G . Kim),우상태(S . T . Woo),서상렬(S . Y . Suh),김향(H . Kim),권영주(Y . J . Kwon),표희정(H . J . Pyo),김용섭(Y . S . Kim),차대룡(D . R . Cha),조원용(W . Y . Jo),김형규(H . K . Kim),김창수(C . S . Kim),박 대한내과학회 1998 대한내과학회지 Vol.54 No.3
N/A Background: Several factors have been influenced to mortality of patients with end-stage renal disease treated with hemodialysis. We performed this study to evaluate the factors influencing to mortality in chronic hemodialysis patients in eight hemodialysis centers. Method: We analyzed retrospectively the demographic characteristics, risk stratification, Kamofsky scale, regularly tested laboratory finding(CBC, Blood chemistry), hospitalization rate, and gross mortality among 150 patients from June, 1994 to June 1996. Results: 1) A total of 150 patients were enrolled, male 91 and female 59 and mean age was about 53 years. 43 patients had diabetes and 107 patients had nondiabetes. The mean duration of hemodialysis was 48.2±24.7 months(range, 9-123months), 2) 82 patients(54.7%) required hospitalization during the 2 year follow-up period and the most common cause of hospitalization was cardiovascular disease. 3) A total of 43 patients(28.7%) had been died during the 2 year follow-up period and the most common cause of death was cerebrovascular disease. 4) In univariate analysis, advancing age, Kamofsky scale(<80 points), diabetic nephropathy as the underlying cause of ESRD, comorbid illness, high risk group in risk stratification, total HD duration, HD length per week, low serum albumin and creatitine concentration were all associated with significantly increased risk of death. In multivariate analysis, diabetic nephropathy as the underlying cause of ESRD and low serum albumin concentration were more highly associated with death probability. Conclusion: We conclude that diabetic nephropathy as underlying cause of ESRD and serum albumin concentration are more important elements in determining patient mortality.
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