DOI: 10.36347/sjams.2021.v09i02.009

Pages: 217-222

Objectives: In this study our main aim is to predict of short-time mortality in Hemodialysis patients. Methods: A prospective observational study was designed in 160 patients who were on maintenance hemodialysis twice and thrice weekly in different dialysis centers, Chittagong. At baseline information were collected & patients were followed up until their death or upto 1 year. Results: Of 160 patients studied mean age was 50.11±13.21 years, 66.25% were male, 35.00% were diabetic. Temporary dialysis catheters were the most common initial vascular access. The prevalence of positive hepatitis B virus surface antigen & anti hepatitis C virus surface antibody were 15.625% & 15.00% respectively. 38 patients died & mortality rate was 23.75%. Sepsis & IHD were the most common causes of death. DM, low serum albumin & high serum phosphorus were independent predictors of mortality. Conclusion: From our study we can say that, our findings indicated that mortality in patients on maintenance hemodialysis was disproportionately high. The most common causes of death were sepsis and IHD. Diabetes mellitus, low serum albumin and high serum phosphorus were found to be independent predictors of mortality. Higher serum albumin & low serum phosphorus level conferred a survival advantage.