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  Česky / Czech version Vnitř. Lék., 50, 2004, No. 3, p. 213 - 217
 
Causes of Hospitalization in Chronically Haemodialyzed Patients 
Funiaková M.1, Funiaková S.2, JežíkováA.1, HolmanB.1, MokáňM.1, Funiak S.3  

1I. interná klinika Jesseniovej lekárskej fakulty UK, Martin, Slovenská republika, prednosta prof. MUDr. M. Mokáň, DrSc. 2Nefro-Dialyzačné centrum, s.r.o. Martin, Slovenská republika 3Oddelenie invazívnej kardiológie Martinskej fakultnej nemocnice, Martin, Slovenská republika, prednosta prim. doc. MUDr. S. Funiak, CSc.
 


Summary:

       Patients taking dialysis regulary form a group with higher morbidity and mortality compared with common population. The risk factors of the hospitalization in future in these patients are supposed to be: older age, history of cardiovascular disease, comorbidity, vascular access other than arterio-venous fistula, certain types of nefropathy and serum albumin level < 30 g/l. The number of patients in chronic dialysis treatment in Slovakia rises. Therefore we have performed a retrospective study. It´s aim was to evaluate the main reasons and risk factors of hospitalizations in chronic haemodialysis patients in Turčiansky region. Methods: 80 patients undergoing regular haemodialysis treatment in 2 dialysis centres during 24 months were included. Following data were collected: age, gender, comorbidity, type of nefropathy, residual diuresis, some data connected with dialysis treatment, laboratory parametres and body mass index. Results: During the given period of time 66 per cent of the patients of our sample required hospitalization. The main reasons of their hospitalization were complications of vascular access (13 %), surgery (12 %), the sepsis (9 %) and serious bleeding (9 %). Hospitalized patients showed significantly lower BMI and residual diuresis compared with non-hospitalized ones. They also suffered from greater amount of other diseases. As for gender prevailed men and patients with a history of cardiovascular disease, thrombosis and peptic ulcer. There was no connection between morbidity and age, type of vascular access and laboratory parameters observed.

        Key words: Hospitalizations - Chronical heamodialysis program - Risk factors - Malnutrition
       

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