Reducing early mortality in hemodialysis patients.

Hakim RM
Curr Opin Nephrol Hypertens. 2008 17 (6): 595-9

PMID: 18941352 · DOI:10.1097/MNH.0b013e3283136746

PURPOSE OF REVIEW - There is increasing recognition of the high morbidity and mortality rate that is associated with initiation of chronic dialysis. The present review examines the recent literature that has addressed this topic.

RECENT FINDINGS - Active interventions to reduce this high morbidity and mortality in the first year on dialysis have been few and infrequent. A recent publication has documented that a broad range of intervention early in the patient's life on dialysis can successfully impact such outcomes. There is also increased recognition that the type of access (catheter, graft, and fistula) with which the patient initiates dialysis has a strong influence on subsequent outcomes.

SUMMARY - The outcome of patients during the first year of dialysis is influenced not only by their comorbidities but also by the quality of care received shortly prior to the initiation of dialysis as well as the level of care they receive once they initiate chronic dialysis.

MeSH Terms (8)

Comorbidity Humans Kidney Failure, Chronic Quality of Health Care Renal Dialysis Risk Factors Time Factors Treatment Outcome

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