Risk Factors for Death in Hemodialysis Patients in North Indian Population

Abstract

Aim: Compared to the general population, people with chronic renal failure have a significant mortality rate. Our study's goal is to assess the risk factors for death in hemodialysis patients.

Methods: This cross-sectional study included 146 adult hemodialysis patients in the in the Department of Medicine at Hind Institute of Medical Sciences between March 2022 to January 2023 to evaluate the effect of predictors of mortality in such patient.

Results: The analysis of the results showed that the surviving patients were younger than the deceased patients (45.07±14.54 years versus 55.08±15.65 years, p=0.001). Also, the latter has a significantly lower albumin and prealbumin levels (, p<0.001 and p=0.048 respectively).Overall survival was 80.2%. Cox regression analysis at inflammation (HR=1.17, p<0.02), and cardiovascular disease (HR=2.96, p<0.001) were associated with global and cardiovascular mortality.

Conclusion: Our study showed that the mortality rate is high in our cohort. In addition, cardiovascular diseases, under nutrition and inflammation are predictive factors for mortality. Treatment and early management of these factors are essential for reducing morbidity and mortality.