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[Influence of referral pattern to nephrologist on start of hemodialysis]
Asta Stankuviene1, Birute Sribikiene, Egle Kanisauskaite
1Clinic of Nephrology, Kaunas University of Medicine, Kaunas, Lithuania.
Abstract:
In 2000-2001, 145 patients started hemodialysis due to end-stage renal disease in Hemodialysis unit at Kaunas University of Medicine. According to referral pattern to nephrologist all patients were divided into two groups: I group--< 3 months until start of hemodialysis--late referrals, II group--> 3 months until start of hemodialysis--early referrals. Comparing these groups, the results revealed worse clinical condition, much more catheterization of central vein (76.3%), prolonged hospitalization and major mortality within 12 moths from the start of hemodialysis, particularly within first 3 months, in late referrals.
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