Document Detail


Results of treatment of renal failure by means of home hemodialysis.
MedLine Citation:
PMID:  6384674     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Of 630 patients who began hemodialysis treatment for chronic renal failure between 1965 and 1977, 147 successfully completed training for home hemodialysis. Patient compliance was satisfactory, as reflected by the results of monthly blood chemical values, hematocrits, and weight gain between dialysis. Although only 15 patients had previous myocardial infarctions and 4 had had strokes before beginning dialysis, 9 patients subsequently experienced acute myocardial infarctions and 14 had strokes. Of the 45 patients who died while being maintained by hemodialysis, 24 had cardiopulmonary complications and 6 had strokes. Despite such complications, 70 patients were gainfully employed and 32 were active at home or at school, whereas 29 were totally disabled. At last follow-up, 74 remained on home hemodialysis, 53 had functioning renal allografts, and the rest of the patients were being maintained in our dialysis center, had transferred elsewhere, or were being maintained by peritoneal dialysis. The overall estimated 5-year survival rate was 56%, whereas the estimated 5-year survival rate for those maintained by home hemodialysis alone was 52%.
Authors:
W J Johnson; S B Kurtz; C F Anderson; J C Mitchell; H Zincke; W M O'Fallon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Mayo Clinic proceedings     Volume:  59     ISSN:  0025-6196     ISO Abbreviation:  Mayo Clin. Proc.     Publication Date:  1984 Oct 
Date Detail:
Created Date:  1984-11-13     Completed Date:  1984-11-13     Revised Date:  2013-12-13    
Medline Journal Info:
Nlm Unique ID:  0405543     Medline TA:  Mayo Clin Proc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  663-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Arteriosclerosis / etiology
Family
Female
Follow-Up Studies
Hemodialysis, Home* / adverse effects,  mortality,  psychology
Humans
Kidney Failure, Chronic / therapy*
Kidney Transplantation
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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