Korean Journal of Nephrology 1992;11(1):56-61.
혈액 투석 중인 만성 신부정 환자의 생존율과 사인에 관한 고찰
추원석 , 김기원 , 양동호 , 홍세용
Abstract
The survival rate and the causes of death were analysed in 109 patients with end stage renal failure on hemodialysis during a 6.5 year period, between June 1984 and December' 1990 at Soonchunhyang Chunan Hospital. The survival rate was analysed by the life table method and the relationship between death to the age at first treatment of hemodialysis, underlying dis- ease and the type of insurance were evaluated by lo- grank test. Causes of death showed cardiovascular disorders, including cerebrovascular disease and heart diseases, to top as the primary causes of death (46. 4%), followed by inadequate dialysis (25%) and infection (14.3%). Early in the course of hemodialysis, a significant proportion of patients died. However for the group as a whole, the survival rate showed a decrease as the hemod ialysis duration increased, The change in the survival rate are as follows: 91.4% for 0.5 year, 81.3% for 1 year, 76.6% for 1.5 year, 76.6% for 2 year and 71.3% for 3 year. Older patients and diabetic patients showed a poorer outcome, than patients whose total expenses for dialysis were covered by the government, showing a better prognosis than the other patients.
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