Comparison of prognosis between emergency and scheduled hemodialysis

J Int Med Res. 2019 Mar;47(3):1221-1231. doi: 10.1177/0300060518807092. Epub 2019 Jan 31.

Abstract

Background: The survival rate of patients undergoing hemodialysis and other renal replacement therapies has been extensively studied, but comparative studies of emergency and scheduled hemodialysis are limited.

Methods: This study included 312 patients who underwent emergency hemodialysis and 274 who received scheduled hemodialysis. We investigated the prognostic differences between these two groups of patients, including the short-term and long-term survival rates.

Results: The overall survival rate was significantly better among the patients in the scheduled hemodialysis group than emergency hemodialysis group. The mortality rate within 3 months of emergency hemodialysis was 4.8%, while that within 3 months of scheduled hemodialysis was 1.1%.

Conclusions: Significant differences were present between emergency and scheduled hemodialysis, especially the levels of serum creatinine and hemoglobin.

Keywords: Emergency hemodialysis; creatinine; hemoglobin; prognosis; scheduled hemodialysis; survival.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Appointments and Schedules*
  • Emergencies*
  • Female
  • Follow-Up Studies
  • Humans
  • Kidney Failure, Chronic / mortality*
  • Kidney Failure, Chronic / therapy
  • Male
  • Middle Aged
  • Prognosis
  • Renal Dialysis / mortality*
  • Survival Rate