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Acta Médica Peruana

On-line version ISSN 1728-5917

Abstract

ALVIS-PENA, Diego  and  CALDERON-FRANCO, Carlos. A description of risk factors for mortality in adults with end-stage chronic kidney disease. Acta méd. Peru [online]. 2020, vol.37, n.2, pp.163-168. ISSN 1728-5917.  http://dx.doi.org/10.35663/amp.2020.372.980.

Objective:

To describe both clinical and demographic characteristics of patients with end-stage kidney disease (ESKD) and the association of such variables with mortality.

Materials and Methods

: This is an observational, descriptive, and cross-sectional study with an analytical approach, which was performed in the nephrology service of a private HMO in Florencia-Caqueta. We studied socio-demographic and clinical variables using univariate and bivariate analyses, applying an association test with mortality using the Chi-square test and simple logistic regression, aiming to calculate prevalence rates (PR).

Results

: Twohundred and thirteen patients were assessed, their average age was 60.0 ± 1.4 years; 48.3% were female, and the recorded mortality rate was 29.3%. Factors associated with mortality were as follows: LDL-C <70 mg/dL (PR: 0.45, 95% CI: 0.24-0.84) and serum albumin <3.5 g/dL (PR: 12.65; 95% CI: 5.85-27.3).

Conclusion

: Hypoalbuminemia and low LDL-C levels are associated with mortality in patients with ESKD in Florencia-Caqueta. Hypoalbuminemia is considered as a risk factor, while LDL levels <70 mg/dL are considered as a protective factor.

Keywords : Renal insufficiency, chronic; Kidney failure, chronic; Renal replacement therapy; Renal dialysis; Peritoneal dialysis.

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