EVALUATION OF SURVIVAL PATTERNS AMONG PATIENTS ON MAINTAINENCE HAEMODIALYSIS

Dr.BRIJESH VERMA; Dr R.S. Jagat

Volume : VIII, Issue : XII, December - 2019

EVALUATION OF SURVIVAL PATTERNS AMONG PATIENTS ON MAINTAINENCE HAEMODIALYSIS

Dr. Brijesh Verma, Dr R. S. Jagat

Abstract :

Introduction– ESRD can lead to destruction of any organ, as well as impair physical and mental activity. The present study was thus conducted to assess the survival pattern amongst patients on maintenance haemodialysis. Methodology– The present study was conducted as a prospective study at Department of Medicine, Gandhi Medical College and associated Hamidia Hospital, Bhopal for a period of 2 years i.e. from 1st August 2017 to 31st July 2019. All adult patients with ESRD (18 years and older) who were on maintenance hemodialysis for more than 3 months at Hamidia hospital and willing to come for follow up were included in the study. A detailed data regarding sociodemographic profile and history regarding dialysis were recorded and entered in questionnaire. Patients were followed up at 4 monthly interval for a total duration of 2 years and survival was noted. Data was compiled using Ms Excel and analysed using SPSS software version 20. Results– The study enrolled 100 patients with End stage renal disease with mean age of 53.4±17.5 years. Mean survival time following initiation of dialysis was observed to be 2.4 (CI–2.248–2.605) years. Mortality was significantly high amongst patients in advancing age (>60years), males, rural population, low socioeconomic status and no education (p<0.05). Mortality was significantly higher in patients with duration of dialysis more than 5 years, no compliance, femoral vascular access(p<0.05). Conclusion– The overall mortality documented in present study was 34% and mean survival time for patients with ESRD on hemodialysis was 2.4 (CI–2.248–2.605) years following initiation of dialysis. Advancing age, male gender, rural residence, lower socioeconomic status and illiteracy were the sociodemographic factors significantly related to low survival time. Also duration of dialysis, non compliance significantly affected survival pattern.