Assessing 90-Day Mortality Rates Among Chronic Kidney  Disease Patients Initiating Hemodialysis

Khadija Tuz  Zohrah; Pooran  Mal; Kishore  Kumar; Sunil; Salam  Ali; Asfa  Memon

doi:10.36283/ziun-pjmd14-4/084

Authors

Khadija Tuz Zohrah Liaquat university of Medical and Health Sciences Jamshoro.
Pooran Mal Liaquat university of Medical and Health Sciences Jamshoro.
Kishore Kumar Isra University, Hyderabad.
Sunil Liaquat university of Medical and Health Sciences Jamshoro.
Salam Ali Liaquat university of Medical and Health Sciences Jamshoro.
Asfa Memon Liaquat university of Medical and Health Sciences Jamshoro.

DOI:

https://doi.org/10.36283/ziun-pjmd14-4/084

Abstract

Background: Patients with end-stage renal disease have a mortality rate 10–30 times higher than the overall population. It's still unknown when the dialysis vintage-related deaths occurred. Hemodialysis patients may have the highest mortality risk shortly after starting treatment; the cause of this is still unknown. The purpose of this study was to estimate the 90-day mortality rate, or early mortality rate, for patients beginning maintenance hemodialysis.

Methods: Between February and December 2024, 354 patients with end-stage renal disease who had started maintenance hemodialysis at Liaquat University Hospital in Hyderabad participated in this study via non-probability consecutive sampling technique. Every patient was monitored for 90 days since start of dialysis and early mortality rate i.e. “90-days mortality rate from the day of initiation of dialysis was calculated”. SPSS-26 was used to analyze the collected data. Mean and standard deviations for the quantitative variables were calculated. Frequencies and percentages were calculated for the qualitative variables.

Results:The mean age of the participants was 54.86 + 16.49 years. 227 (64.1%) of the participants wer male while 127 (35.9%) were female. The most common cause of ESRD found was glomerulonephritis (GN) in 142(40.1%) patients. 45 (12.7%) were alive at the end of the 3 months study period while 309 (87.3%) had passed away. patients with an eGFR >10mL/min/1.73m² and with any aetiology except renal calculi had a greater risk of early mortality

Conclusion: The 90-day (early) mortality rate is significantly high i.e. 87.10% in patients initiating maintenance hemodialysis in our study, and special attention should be given to such patients.

Author Biographies

Khadija Tuz Zohrah, Liaquat university of Medical and Health Sciences Jamshoro.

Department of Nephrology,
Pooran Mal, Liaquat university of Medical and Health Sciences Jamshoro.

Department of Nephrology,
Kishore Kumar, Isra University, Hyderabad.

Department of Nephrology,
Sunil, Liaquat university of Medical and Health Sciences Jamshoro.

Department of Nephrology,
Salam Ali , Liaquat university of Medical and Health Sciences Jamshoro.

Department of Nephrology,
Asfa Memon, Liaquat university of Medical and Health Sciences Jamshoro.

Department of Nephrology,

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