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Renal Replasman Tedavisi Alan Hastaların Hastaneye Yatış ve Sağkalım Açısından Karşılaştırılması

Comparison of Hospitalization and Survival Between Patients Treated With Renal Replacement Therapy

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DOI: 
DOI 10.5262/tndt.2011.1001.12
Abstract (2. Language): 
AIM : Renal replacement therapy (RRT) prolongs survival in patients with end-stage-renal-disease (ESRD). We compared patient survival, number and duration of hospitalization in patients treated with RRT in this study. MA TERIAL and M ETHODS: Two hundred and eighty seven patients (87 hemodialysis (HD), 97 peritoneal dialysis (PD), 103 renal transplant (RT) patients) were enrolled in this study. Patients’ data were collected retrospectively from hospital records. RESUL TS: HD patients were older and had more comorbid diseases compared to PD and RT patients. Mortality rates were not different between the modalitites. The number and duration of hospitalization episodes were significantly lower in the PD group than that of the other two groups. Survival rates of HD patients were 84%, 55% and 30% for the 1st, 5th and 10th years, respectively while these rates were 93%, 81% and 59% for PD and 95%, 81% and 77% for RT patients. CONCLU SION: PD and RT patients were younger than HD patients and had less comorbid diseases. As a result, the number and duration of hospitalization episodes were significantly lower in the PD group when compared to the others. Survival rates in the RT group were better than that of the HD and PD groups.
Abstract (Original Language): 
AMA Ç: Böbrek yerine koyma tedavisi son dönem böbrek yetmezliği (SDBY) hastalarında yaşam süresini uzatmaktadır. Biz bu çalışmada, SDBY hastalarında böbrek yerine koyma tedavisi sağkalım, hastaneye yatış sıklığı ve hastanede kalış süresi üzerine olan etkilerini karşılaştırmayı amaçladık. GEREÇ ve YÖN TEML ER: İki yüz seksen yedi (87 hemodiyaliz (HD), 97 periton diyalizi (PD), 103 böbrek nakli (BN)) hastası çalışmaya alındı. Hasta verileri geriye dönük olarak hasta dosyalarından kaydedildi. BUL GULA R: Hemodiyaliz hastalarının PD ve BN hastalarına oranla daha yaşlı ve daha fazla yandaş hastalığa sahip oldukları görüldü. Her 3 grupta mortalite oranları bakımından farklılık saptanmadı. PD grubunda hastaneye yatış sıklığı ve hastanede kalış süresi diğer iki gruba oranla daha düşüktü. 1, 5, 10 yıllık hasta sağ kalımları HD grubunda %84, %55, %30 iken, PD grubunda %93, %81, %59, BN grubunda ise %95, %81 ve %77 olarak bulundu. SONU Ç: PD ve RT hastaları HD hastalarına oranla daha genç, HD hastaları daha fazla ek hastalığa sahip, PD hastalarında hastaneye yatış oranı daha az iken en iyi hasta sağ kalımı ise BN grubundadır.
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