Working in the Welland ER, I see a lot of renal patients.....thought this data was interesting on dialysis...
DIALYSIS SURVIVAL
Summary:
• The survival of all dialysis patients starting dialysis in 1993 to 2002 was 90%, 73%, 60% and 39% at one year, 3 years, 5 years and 10 years respectively.
• CAPD patients had a 74% higher risk of death compared to haemodialysis patients.
• Survival of dialysis patients in recent vintage was lower than in earlier vintage. Compared to the 1997-1998 cohort the mortality risk of 1999-2000 and 2001-2002 cohorts were increased by 21% and 27% respectively.
• Diabetics on dialysis had 2.1 times higher risk of death compared to non-diabetics.
• Low serum albumin concentration, low body mass index and low serum cholesterol level were independent risk factors for mortality.
• There was a U-shaped relationship between diastolic blood pressure and risk of mortality.
• The haemoglobin level associated with the lowest risk of mortality was 110-120.
• Hyperphosphataemia, hypercalcaemia and low calcium phosphate product were associated with increased risk of death.
• Hepatitis B or Hepatitis C status did not affect patient survival.
Maynard Luterman
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