Analysis of Mortality Prognostic Factors in Patients with chronic Kidney Disease on Hemodialysis

Authors

Keywords:

chronic renal failure, forecast, mortality, hemodialysis.

Abstract

Introduction: Chronic kidney disease is one of the main causes of mortality worldwide. Risk stratification through the analysis of prognostic factors could generate a paradigm shift.

Objective: To analyze the prognostic factors of mortality in patients with chronic kidney disease on hemodialysis.

Methods: A non-experimental, longitudinal retrospective cohort study was carried out on patients with chronic kidney disease on hemodialysis at Dr. Ernesto Guevara de la Serna General Teaching Hospital from January 2017 to December 31, 2021. The prognostic factors of mortality were analyzed using multivariate binary logistic regression analysis and the correct percentage of classification of the regression model was determined.

Results: Prognostic variables of mortality were analyzed, such as cardiovascular disease [B = 3.831; p = 0.000; Exp (B) = 46.118], albumin < 29 g/L [B = 2.839; p = 0.000; Exp (B) = 17.099], urea > 17 mmol/L [B = 1.326; p = 0.027; Exp (B) = 3.767], blood glucose < 4 mmol/L [B = 1.600; p = 0.015; Exp (B) = 4.955] and excessive interdialytic weight gain [B = 2.243; p = 0.001; Exp(B) = 9.420]. The overall classification percentage of the binary logistic regression model was 89.5%.

Conclusions: The logistic regression predictive model was analyzed, which showed good precision with the prognostic factors associated with mortality in hemodialysis patients.

 

 

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Author Biographies

Sergio Orlando Escalona González, Universidad de Ciencias Médicas de Las Tunas.

Residente de Tercer año de Medicina General Integral. Profesor instructor. Aspirante a investigador.

Mirna León Acebo, Universidad de Ciencias Médicas de Las Tunas

Doctora en Ciencias Pedagógicas. Especialista de Segundo grado en Embriología Humana. Profesor titular

Yailé Caballero Mota, Universidad de Camagüey

Doctora en Ciencias Técnicas. Máster en Ciencias de la Computación. Licenciada en Ciencias de la Computación. Profesor Titular. Investigador titular

Zoraida Caridad González Milán, Universidad de Ciencias Médicas de Las Tunas. Hospital General Docente: "Ernesto Guevara de la Serna"

Especialista de Segundo grado en Medicina General Integral y Segundo grado en Nefrología. Máster en Longevidad satisfactoria. Profesor auxiliar. Investigador agregado

Yanela Rodríguez Alvarez, Universidad de Camagüey

Licenciada en Ciencias de la Computación. Máster en Ciencias de la Computación. Profesor asistente. Investigador agregado

Beatriz Ricardo Paez, Universidad de Ciencias Médicas de Las Tunas. Hospital General Docente: "Dr. Ernesto Guevara de la Serna"

Estudiante de quinto año de Medicina. Alumna ayudante de Nefrología.

Katiuska Danay Rodríguez Espinosa, Universidad de Ciencias Médicas de Las Tunas. Hospital General Docente: "Dr. Ernesto Guevara de la Serna"

Especialista de Primer Grado en Medicina General Integral y Primer grado en Nefrología. Profesor asistente.

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Published

2023-11-02

How to Cite

1.
Escalona González SO, León Acebo M, Caballero Mota Y, González Milán ZC, Rodríguez Alvarez Y, Ricardo Paez B, et al. Analysis of Mortality Prognostic Factors in Patients with chronic Kidney Disease on Hemodialysis. Rev Cubana Med [Internet]. 2023 Nov. 2 [cited 2025 Jun. 21];62(4). Available from: https://revmedicina.sld.cu/index.php/med/article/view/3317

Issue

Vol. 62 No. 4 (2023): octubre-diciembre

Section

Original articles

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