Determinants of Overall Survival of Kidney Failure for Patients Receiving Dialysis in Saint Geberial General Hospital, Addis Ababa, Ethiopia

Abstract

Background: Chronic kidney disease (CKD) is becoming a common disease in the general population and is associated with an increased risk of mortality. The aim of this study was to investigate survival pattern and assess risk factors affecting the overall survival pattern of kidney failure patient’s treated with dialysis. Methods: The data for this study was obtained by accessing and reviewing patients’ medical records and dialysis registration book of end stage renal disease (ESRD) patients registered during May 2011 to April 2016 and treated in Saint Geberial general Hospital. Kaplan-Meier estimation method and Cox proportional hazards regression models were applied. Results: The Cox proportional hazards regression model results revealed that duration of dialysis per session, hypertension status, and infection status were the significant factors for the survival of ESRD patients. Conclusion: Increase in duration of dialysis per session and eradicating infection over the treatment period, for kidney failure hemodialysis (HD) patients, can minimize the risk of death of kidney failure patients. In the other hand, it was found that factors, which had no significant impact on the survival of ESRD patients were age, marital status, stroke, residence, religion and weight at the baseline of the patients. Key Words: Dialysis, Kaplan-Meier, and Cox Proportional hazards