지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 154 - 159 (6page)
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초록· 키워드
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Background: Incident hemodialysis patients have the highest mortality in the first several months after starting dialysis. This study evaluated the in-hospital mortality rate after hemodialysis initiation, as well as related risk factors. Methods: We examined in-hospital mortality and related factors in 2,692 patients starting incident hemodialysis. The study population included patients with acute kidney injury, acute exacerbation of chronic kidney disease, and chronic kidney disease. To determine the parameters associated with in-hospital mortality, patients who died in hospital (nonsurvivors) were compared with those who survived (survivors). Risk factors for in-hospital mortality were determined using logistic regression analysis. Results: Among all patients, 451 (16.8%) died during hospitalization. The highest risk factor for in-hospital mortality was cardiopulmonary resuscitation, followed by pneumonia, arrhythmia, hematologic malignancy, and acute kidney injury after bleeding. Albumin was not a risk factor for in-hospital mortality, whereas C-reactive protein was a risk factor. The use of vancomycin, inotropes, and a ventilator was associated with mortality, whereas elective hemodialysis with chronic kidney disease and statin use were associated with survival. The use of continuous renal replacement therapy was not associated with in-hospital mortality. Conclusion: Incident hemodialysis patients had high in-hospital mortality. Cardiopulmonary resuscitation, infections such as pneumonia, and the use of inotropes and a ventilator was strong risk factors for in-hospital mortality. However, elective hemodialysis for chronic kidney disease was associated with survival.
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참고문헌 (24)
참고문헌 신청
Moretti HD / 2009 / Effects of protein supplementation in chronic hemodialysis and peritoneal dialysis patients / J Ren Nutr 19:298~303
Gmar-Bouraoui S / 2003 / The predictors of early mortality in patients starting chronic hemodialysis / Saudi J Kidney Dis Transpl 14:23~29
Khan IH / 1996 / Survival on renal replacement therapy in Europe : is there a 'centre effect'? / Nephrol Dial Transplant 11:300~307
Barrett BJ / 1997 / Prediction of early death in end-stage renal disease patients starting dialysis / Am J Kidney Dis 29:214~222
Foley RN / 1994 / Advance prediction of early death in patients starting maintenance dialysis / Am J Kidney Dis 23:836~845
Gmar-Bouraoui S / 2003 / The predictors of early mortality in patients starting chronic hemodialysis / Saudi J Kidney Dis Transpl 14:23~29
Khan IH / 1996 / Survival on renal replacement therapy in Europe : is there a 'centre effect'? / Nephrol Dial Transplant 11:300~307
Barrett BJ / 1997 / Prediction of early death in end-stage renal disease patients starting dialysis / Am J Kidney Dis 29:214~222
Foley RN / 1994 / Advance prediction of early death in patients starting maintenance dialysis / Am J Kidney Dis 23:836~845
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