10 year survival rate and its influencing factors in maintenance hemodialysis patients
GUO Xuemei
ZHU Zhennan
MING Hongxiu
JING Xueming
ZHANG Heping
YANG Kun
TANG Jincheng
JING Jianying
Abstract：Objective:To investigate the 10-year survival rate of MHD patients and analyze its influencing factors,so as to provide reference for improving the survival rate and quality of life of MHD patients.Methods:From January 1,2012 to December 31,2013,220 MHD patients in the Blood Purification Center of the Affiliated Hospital of North Sichuan Medical College were selected and followed up until December 31,2023.Kaplan-Meier method was used to analyze the survival rate,the cause of death,and the estimation of the survival curve,and Cox proportional risk model was used to analyze the factors affecting the prognosis of patients.Results:The cumulative survival rates of 1,3,5 and 10 years were 90.0%,57.0%,40.0%and 19.0%,respectively.Cardiovascular events and cerebrovascular accidents were the most common causes of death.Multivariate Cox analysis showed that male,diabetes mellitus,systolic blood pressure＜140 mmHg before dialysis,temporary intravenous line used for the first dialysis,and hypotension during dialysis were independent risk factors for death in MHD patients(P＜0.05).Conclusion:MHD patients have a very limited life expectancy and a high mortality rate.Male,diabetes mellitus,pre-dialysis systolic blood pressure＜140 mmHg,temporary intravenous line use for first dialysis,and hypotension during dialysis are independent risk factors for death.
Keywords：maintenance hemodialysissurvival analysisrisk factorsnursing
Publication Date：2025-01-29
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 224-228 )