Survival in long-term haemodialysis patients : results from the annual survey of the Japanese Society for Dialysis Therapy.
The prognosis for haemodialysis patients is reported to be more favourable in Japan than in Europe or North America.
Consequently, evaluation of the death predictors for haemodialysis patients in Japan is of considerable interest outside Japan.
The Patient Registration Committee of the Japanese Society for Dialysis Therapy annually surveys the individual patient case mix, laboratory data and important events occurring in the previous years.
Thus, using case mix data and laboratory data (including Kt/V and protein catabolic rate) from the 1993 questionnaire survey and the individual patients'life/death statistics from the 1994 questionnaire survey, a logistic regression analysis was conducted on 53 867 patients.
The analysis indicated that important death risk predictors were : (i) advanced age, (ii) occurrence of diabetes mellitus, (iii) male sex, (iv) Kt/V lower than 1.8, (v) duration of haemodialysis sessions less than 5 h, (vi) protein catabolic rate less than 0.9 g/kg/day, and (vii) percentage body weight decrease less than 4% and more than 8% during the first haemodialysis session of the week.
Mots-clés Pascal : Hémodialyse, Longue durée, Evaluation, Survie, Long terme, Facteur risque, Mortalité, Age, Sexe, Diabète insulinodépendant, Etude statistique, Homme, Japon, Asie, Epuration extrarénale, Appareil urinaire pathologie, Rein pathologie, Insuffisance rénale, Endocrinopathie, Immunopathologie, Maladie autoimmune
Mots-clés Pascal anglais : Hemodialysis, Long lasting, Evaluation, Survival, Long term, Risk factor, Mortality, Age, Sex, Insulin dependent diabetes, Statistical study, Human, Japan, Asia, Extrarenal dialysis, Urinary system disease, Kidney disease, Renal failure, Endocrinopathy, Immunopathology, Autoimmune disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0015641
Code Inist : 002B27B03. Création : 21/05/1997.