Survival rates and causes of death in Vietnamese chronic hemodialysis patients

Abstract

Background: Thirty years have passed since hemodialysis therapy first started in Vietnam. However, there have been no reports on information such as the survival rate, mortality, and cause of death of hemodialysis patients on a national level. The aim of this study is to retrospectively analyze the data on hemodialysis patients from the flagship hospital in Ho Chi Minh City and to shed light on the status of hemodialysis patients in Vietnam. Methods: The patients in this report were all 18 years or older who underwent hemodialysis at the Thong Nhat Hospital between April 1997 and December 2014. There were a total of 349 patients, with 225 males and 124 females. Data was collected on the age, sex, primary causes of end-stage renal diseases, starting date of hemodialysis, vascular access, hemodialysis therapy prescription, hemodialysis dose, coexisting conditions, clinical test data, and cause of death. IBM's statistical analysis software SPSS Statistics 23.0 was used. Results: The survival time after hemodialysis introduction was 5.27 ± 0.31 years (mean ± standard deviation). The factors which impacted the survival rate included being 60 years of age or older at the initiation of hemodialysis, being male, coexisting conditions, and vascular access apart from an artery venous fistula. The prognosis of diabetic patients suffering from renal failure was poor when compared to that of patients without diabetes; however, there was no statistical significance. The most common cause of death was cardiovascular disease (46.1%), followed by other causes (11.8%) and unknown causes (23.6%). Conclusions: Our data shows that mean survival time was shorter than that in other countries. One-year and 5-year survival rates were not so different. However, a 10-year survival rate was very low. Significant risk factors were not so special, but we have a problem in medical cost in Vietnam. To improve the long-term survival rate, we are trying to change the situation.

Incidence and Risk Factors of Cardio-Cerebrovascular Event, Hospitalization, and Mortality in Patients Undergoing Regular Hemodialysis

“…( Table 1 and and highest in the United States (21.7%). 9,10,11 Both the causes of death and hospitalization in this study's subjects were also in accordance with currently available data. The 2014 Indonesian Renal Registry (IRR) reported the cause of death in HD patients due to the incidence of CV is 47% and as a result of cerebrovascular events is 12%.…”

Gender-Related Differences and Mortality Predictors among Egyptian Hemodialysis Patients: A Multi-Center Prospective Observational Study

“…Our results showed nearly similar mean age, similar age at the start of HD, and similar mean dialysis duration in both genders. A higher number of males on hemodialysis was previously reported by many national and international reports [17][18][19][20][21]. This could be attributed to the faster CKD progression among males [22,23].…”

Survival and analysis of predictors of mortality in patients undergoing replacement renal therapy: a 20-year cohort

“…The median survival time was 6.79 ± 0.37 years (mean ± standard deviation), and 254 (60.2%) patients died. In the study by Nyuyen et al (2017) [ 23 ] the survival time was 5.27 ± 0.31 years (mean ± standard deviation), in the study by Browne et al (2014) [ 1 ] the death rate was 60%, in the study by Ebhahimi et al (2019) [ 4 ] of 52% and in the study by Chandrashekar et al (2014) [ 24 ] 19.8% over 2 years. These periods are relatively short when compared to US rapporteurs [ 24 , 25 ].…”

“…Regarding survival rate, it was 82.3% in the first year, 49.1% in 5 years, 22.5% in 10 years and 13.3% at the end of the follow-up. Nyuyen (2017) [ 23 ] found in her cohort an 85% survival rate at 1 year, 58% at 5 years and 20% at 10 years. Belino et al (2017) [ 26 ] found a rate of 93.4% at the end of the second year of treatment and Teixeira et al, (2015) [ 27 ], found a survival rate in the first similar to our study: 84.71%.…”