Mortality of people with chronic renal failure, at the Instituto Salvadoreño del Seguro Social 2000-2016
DOI:
https://doi.org/10.5377/alerta.v1i2.7131Abstract
Objective. Define chronic renal failure (CRF) patients clinical evolution in the Salvadoran Social Security Institute (ISSS) hospitals.
Methodology. Multivariate cross section secondary sources analysis, estimated sample for finite populations: 375 cases (Conf.95, alpha 5%), Collection and processing: EXCEL and STATA 14.0.
Results. 65.3% was men, average age: 57 +/- 17, 68.5% was 50 years or older, 23.7% has high blood pressure (HBP) 16% diabetes mellitus (DM) and 8.8% chronic heart disease, death rate was 21.8%, Direct causes of death: Chronic Renal Failure (CRF): 63.6%, infections: 14%, cardiovascular events: 10.9%, estimated years of potential life lost (YLL): 877 (60.5% in men). The 50.1% of the patients had CRF since the first hospital discharge, one-year survival: 93% and 71% at 10 years, co morbid (Log Rank / p)HBP 12.3 / 0.0005, diabetes: 4.9 / 0.027 (together: 16.6 / 0.0008), Chronic obstructive pulmonary disease (COPD): 6.45 / 0.011, age over 50: 5.45 / 0.019, more than 2 co morbidities: 14.26 / 0.0065. The death risk was increased by COPD (HR / 95% CI / p): 3.92 / 1.23-12.6 / 0.055, HBP: 2.16 / 1.38-3.38 / 0.0012, diabetes: 1.79 / 1.05-3.07 / 0.0043 and age over 50: 1.83 /1.1-3.09/0.016.
Conclusions. CRF affected men older than 50 years, they generated most years of potential life lost, major etiologies: high blood pressure, DM and chronic heart disease, was the main direct cause of death, half of people already had CRF since their first hospital discharge, 10-year survival was 70%, mortality due CRF with HBP, DM, COPD and age> 50 years old is greater than when they do not present them and increase the risk of dying.
Alerta Year 2018, Vol. 1 No. 2: 37-44
Keywords. Chronic Renal Failure, survival, dialysis, Epidemiology, comorbidities.
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Copyright (c) 2018 Víctor David Franco Escobar
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