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越来越多的老年终末期肾病(ESRD)患者进入血液透析治疗[1],ESRD患者开始透析的前3个月死亡率最高[2]。本研究旨在调查65岁及以上老年维持性血液透析(MHD)患者透析早期(3个月内)的死亡情况和死亡原因,并分析其危险因素,报告如下。对象与方法1.研究对象:选择2007年1月至2012年6月在我院血液透析中心开始治疗的老年ESRD患者,排除急性肾衰竭、退出腹膜透析转入血液透析和移植肾失功能者。2.方法:收集人口统计学资料,包括年龄、性别、原发病;开始透析时合并疾病(糖尿病、高血压、充血性心力衰竭、冠心病、脑卒中);计算查尔森合并症指数(CCI)[3];实验室检查,包括血肌酐(SCr)、应用
A growing number of elderly patients with end-stage renal disease (ESRD) are on hemodialysis [1], with the highest mortality in the first 3 months of ESRD dialysis [2]. The aim of this study was to investigate the mortality and causes of death in the early stage of dialysis (aged 3 months) in elderly patients with maintenance hemodialysis (MHD) aged 65 years and older and to analyze the risk factors, as reported below. Subjects and Methods 1. Subjects: Elderly patients with ESRD who started treatment at the hemodialysis center of our hospital from January 2007 to June 2012 were excluded from acute renal failure, and were withdrawn from peritoneal dialysis for hemodialysis and renal transplant failure. 2. Methods: Demographic data were collected, including age, sex and primary disease; comorbid conditions (diabetes, hypertension, congestive heart failure, coronary heart disease, stroke) at the time of dialysis; and the Charlson Comorbidity Index CCI) [3]; laboratory tests, including serum creatinine (SCr), application