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- Title
Fatores relacionados aos desfechos clínicos e ao tempo de sobrevida em doentes renais crônicos em hemodiálise.
- Authors
Batista Bialeski, Andreia; Michielin Lopes, Cyntia; Moehlecke Iser, Betine Pinto
- Abstract
Background: Hemodialysis usually lasts until the end of life or until kidney transplantation. Objective: to verify the factors related to clinical outcomes and survival of chronic renal patients in hemodialysis at a clinic in the south of Santa Catarina Method: A retrospective cohort study. Survival was assessed by Kaplan-Meier curves and outcome-related factors were assessed using Cox regression, with comparisons using Hazard Ratio (HR) and 95% confidence intervals. Results: Among the 120 patients, the mean age was 61.8 (± 13.9) years. The main sector of referral for hemodialysis was the nephrologist (33.3%). The main underlying diseases identified were hypertension (60.8%) and Diabetes Mellitus (29.2%). Death was recorded in 44.2% of the patients, and seven (5.8%) performed a transplant. Survival decreased from 76.1% in one month to 49.3% in one year of treatment. Referral by intensive care unit (HR 18.1 95% CI 4.49-72.8) and Basic Health Unit (HR 9.27 95% CI 1.48-58.2) were associated with death, besides of higher values of initial calcium (HR 2.36 95%CI 1.21-4.62) and lower final creatinine (HR 0.69 95%CI 0.55-0.87). Conclusion: The main outcome was death, being the patient's survival, evaluated in a short term, lower than expected, suggesting late referral to the substitutive treatment.
- Subjects
SANTA Catarina (Brazil : State); INTENSIVE care units; KIDNEY transplantation; CHRONIC kidney failure; HEMODIALYSIS; HEMODIALYSIS patients; SURVIVAL rate
- Publication
Cadernos Saúde Coletiva, 2022, Vol 30, Issue 1, p115
- ISSN
1414-462X
- Publication type
Article
- DOI
10.1590/1414-462X202230019308