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( Attila Aydin ),( Cemile Aydin ),( Selma Karaahmetogluozkan ),( Zeynep Guven ),( Rukiye Kara ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: End stage renal failure is an increasing clinical problem. That is why we should prevent it and capture patients in earlier stages in order to stop their progression. We should determine the causes of hospitalization and acute complications. Methods: The patients who were hospitalized for End Stage Renal Disease (ESRD) between March 2009-2011 patients were studied. We studied the causes of hospitalization in concern with established parameters. The datas were analyzed in SPSS program. Results: The total number of patients were 98 including 50 men and 48 women. The ages of patients were between 27-93. Chronic Kidney Disease (CKD) duration was 2-240 months, the dialysis duration was 0.5-240 months. The most common cause of emergency department admission was infection 39 (%39.8). The Patients admitted with an infection were taken dialysis treatment longer than other patients (p=0.034) and they had a higher initial hemoglobin level (p=0.002) and were hospitalized longer than the other patients (p=0.047). The most common type of infection was pneumonia (%43.6). The most common cause of mortality was sepsis with %40 and pneumonia with %20. There was no statistically difference in terms of albumin level between patients with infection and the others. Although in the exitus group albumin was statically lower than the survivors (p<0.05). Conclusions: The most common cause of ESRD was infection. The most common cause of mortality was also infection; sepsis and pneumonia. We determined that a low albumin level was a bad prognostic factor.
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