Factors associated with in hospital deaths in a hemodialysis population in Peru

Authors

  • Percy Herrera-Añazco Hospital Nacional Dos de Mayo. Lima, Peru. Facultad de Medicina Humana, Universidad Nacional de Piura. Piura, Peru.
  • Vicente A. Benítes-Zapata Unidad de Analisis y Generacion de Evidencias en Salud Publica, Instituto Nacional de Salud. Lima, Peru. Facultad de Medicina Humana. Universidad de San Martin de Porres. Lima, Peru.
  • Adrián V Hernandez Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Peru.

DOI:

https://doi.org/10.17843/rpmesp.2015.323.1677

Keywords:

Mortality, Hemodialysis, Health systems

Abstract

Objectives. To determine the factors associated with mortality during the first hospitalization of patients admitted to a hemodialysis unit. Materials and methods. Observational and retrospective study of patients admitted to "Dos de Mayo" National Hospital between January 2012 and December 2013. For the survival analysis we used the Kaplan-Meier method. A multivariate logistic regression was performed to evaluate the factors associated with hospital mortality. Results. 216 patients with a mean age of 56.9 ± 15.5 years were studied. 24% of patients (n = 51) died during their hospital stay. The mortality rate was 9.3 deaths/100 person-weeks (95% CI: 7.0 to 12.3). We found a tendency of less risk of death in patients with between 1 and 6 months from chronic kidney disease diagnosis (OR 0.84, 95% CI: 0.32 to 2.26) and in those with more than six months from chronic kidney disease diagnosis compared with those who had less than a month from chronic kidney disease diagnosis (OR 0.55, 95% CI: 0.19 to 1.57). Previous care by a nephrologist was not associated with differences in lower mortality (OR 1.14, 95% CI: 0.39 to 3.31). Conclusions. There is poor prior care among hemodialysis patients that form part of an inadequate health care structure and this is associated with high inhospital mortality.

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Published

2015-09-24

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Section

Original Article

How to Cite

1.
Herrera-Añazco P, Benítes-Zapata VA, Hernandez AV. Factors associated with in hospital deaths in a hemodialysis population in Peru. Rev Peru Med Exp Salud Publica [Internet]. 2015 Sep. 24 [cited 2024 Jun. 12];32(3):479-84. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1677

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