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Background: Chronic kidney disease is one of the rapidly spreading non-communicable diseases in Ethiopia, and hemodialysis is the commonest mode of renal replacement therapy. The reason why it is found important to study this now is due to the increasing burden of chronic kidney disease and demand for renal replacement therapy to prolong life.
Objective: The purpose of this study was to show magnitude of death and associated factors in end stage renal disease patients on hemodialysis in both private and public dialysis centers in Addis Ababa.
Methods: It is a cross-sectional study. Data was collected from patients’ records and interview of patients and health professionals attending the patients in both private and public dialysis centers in Addis Ababa. 278 patients who were on maintenance hemodialysis for one year and above were enrolled.
Results: This study included 278 patients who were on maintenance hemodialysis for 1 or more years in 10 (3 public hospitals, 5 private hospital, and 2 stand-alone) dialysis centers in Addis Ababa. Of the 278, 31 (11.2%) were dead. Hospitalization (OR: 5.92, CI: 2.59-13.50) and cardiovascular disease comorbidity (OR: 4.9, CI: 2.09-11.63) were the significant factors associated with the outcome.
Conclusion: End stage renal disease patients on maintenance hemodialysis with multiple hospital admissions and cardiovascular disease have increased risk of mortality. We recommend that due attention be given to these group of patients by the concerned body................................... Thesis available at ACIPH Library |
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