Survival of patients on chronic hemodialysis: single center experience

Area of Science:

• Nephrology
• Clinical Medicine
• Public Health

Background:

• Hemodialysis (HD) is a critical treatment for end-stage renal disease.
• Long-term survival data in HD populations are essential for clinical practice and healthcare planning.
• Understanding factors influencing survival is key to improving patient outcomes.

Purpose of the Study:

• To analyze patient survival trends over an 11-year period at a chronic intermittent hemodialysis center.
• To identify demographic, clinical, and etiological factors associated with survival in HD patients.
• To determine the primary causes of mortality in this patient cohort.

Main Methods:

• Retrospective analysis of 404 patients undergoing chronic intermittent hemodialysis over 11 years.
• Data collection included patient demographics, HD treatment details, and survival status.
• Statistical analysis to correlate survival rates with patient characteristics and causes of death.

Main Results:

• The overall 5-year survival rate was 58%.
• Women demonstrated longer survival than men; age was a significant survival predictor.
• Patients with chronic glomerulonephritis and adult polycystic kidney disease had superior survival, while diabetic and hypertensive nephropathy patients had poorer outcomes.
• Leading causes of death included cardiac-related issues (44%), cerebrovascular accidents (15%), and sepsis (11%).

Conclusions:

• Survival in hemodialysis patients is influenced by gender, age, and underlying kidney disease etiology.
• Cardiac disease remains a major cause of mortality in the hemodialysis population.
• Continuous monitoring and targeted interventions are necessary to improve long-term outcomes for hemodialysis patients.