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Results of treatment of center hemodialysis patients

W J Johnson, S B Kurtz, J C Mitchell

    Mayo Clinic Proceedings
    |October 1, 1984
    PubMed

    Insights

    Hemodialysis patients faced risks of myocardial infarction and stroke, which contributed to nearly half of the deaths. However, many patients maintained employment and activity, with 5-year survival rates of 52% for dialysis alone and 65% with transplantation.

    Area of Science:

    • Nephrology
    • Cardiovascular Medicine
    • Public Health

    Background:

    • Maintenance hemodialysis was initiated for 483 patients between 1963 and 1977.
    • Pre-dialysis cardiovascular events were infrequent (18 myocardial infarctions, 6 strokes).

    Purpose of the Study:

    • To evaluate the outcomes of patients undergoing maintenance hemodialysis.
    • To assess the incidence of cardiovascular complications and survival rates.

    Main Methods:

    • Retrospective analysis of 483 patients on maintenance hemodialysis.
    • Tracking of myocardial infarction, stroke, employment, activity levels, and survival.

    Main Results:

    • 30 patients had acute myocardial infarction and 45 had a stroke post-dialysis.
    • These cardiovascular events caused 48 of 98 deaths during maintenance dialysis.
    • 5-year survival was 52% for dialysis alone and 65% including first allografts.

    Conclusions:

    • Hemodialysis patients are at significant risk for cardiovascular events and mortality.
    • Despite risks, a substantial portion of patients maintain employment and activity.
    • Renal transplantation improves overall survival rates in hemodialysis patients.

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