Early Mortality Rate in Patients Initiating Maintenance Hemodialysis in a Tertiary Care Hospital

Authors

  • Mohammad Saleem Bahria Town Hospital
  • Irtiqa Rehan
  • Mohammad Asim Rana Bahria Town Hospital, Lahore
  • Aftab Ahmad Bahria Town Hospital, Lahore
  • Maryam Asif Bahria Town Hospital, Lahore
  • Fahad Mehmood Bahria Town Hospital, Lahore
  • Mohammad Ahad Qayyum Bahria Town Hospital, Lahore

DOI:

https://doi.org/10.53778/pjkd40352

Keywords:

Arterio-venous fistula, Hemodialysis, Vascular access, temporary Hemodialysis catheter, Mortality,

Abstract

 This study was carried out to determine the early mortality rate i.e. 90 day mortality in patients starting maintenance hemodialysis at a tertiary care facility in Pakistan. This study additionally reports early mortality rate based on the type of vascular access used to initiate hemodialysis.

Method: This is a cross sectional study which included all consecutive patients who initiated maintenance hemodialysis at Bahria Town International Hospital Lahore over a three-month period. Each patient was followed up for a period of 90 days and the type of vascular access used to initiate hemodialysis was noted. Early mortality rate i.e. 90-day mortality rate from the day of initiation of dialysis was calculated. All collected data was analyzed using the SPSS software.

Results: A total of 485 participants were included in the study. The mean age was 44 years while 51% of the participants were male. The 90 day (early) mortality rate of patients initiating maintenance hemodialysis at our centre was found to be 45%. 88% of the patients initiated maintenance hemodialysis using a temporary hemodialysis catheter. 48% of the patients starting maintenance hemodialysis through a temporary dialysis catheter died within the 3 months of study period.

Conclusion: The 90-day (early) mortality rate is significantly high i.e. 45% in patients initiating maintenance hemodialysis. The use of temporary hemodialysis catheter to initiate maintenance hemodialysis is a major risk factor for early mortality when compared to AVF use.

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Published

2021-01-31