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首页> 外文期刊>Advanced Science Letters >The Survival of Patients on Hemodialysis With and Without Diabetes Mellitus as a Comorbidity in UKI Hospital, Jakarta
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The Survival of Patients on Hemodialysis With and Without Diabetes Mellitus as a Comorbidity in UKI Hospital, Jakarta

机译：雅加达乌比特糖尿病患者血液透析患者的存活

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Survival among patients on hemodialysis (HD) with diabetes mellitus is worse compared to nondiabetic patients. This study is aimed to get insight of the characteristics of patients on hemodialysis in UKI Hospital Jakarta 2011–2015, and compare the survival of hemodialysis patientswith diabetes mellitus as comorbid and the of the patients without diabetes mellitus. This study used secondary data that collected from UKI Hospital Jakarta’s medical records of patients diagnosed with chronic kidney disease (CKD) and end-stage renal disease (ESRD). Number of subjectsin this study is 105 patients. Study design was retrospective cohort with four years duration from January 2011 to December 2015. The variables included are age at first HD, gender, education, insurance type, vascular access, cardiovascular, hypertension, and anemia. The data analysis wasperformed using Kaplan-Meier and Cox Proportional Hazard. Based on the data of 105 patients, 38 patients (36.2 percent) were dead during the study, 45 patients (42.85%) were still on HD until the end of the study, 3 patients (2.85%) were hospitalized and 19 patients (18%) others disappearfrom observation. All the patients who did not die were 67 people (63.8%) and were referred as censored cases. The number of HD patients with comorbidity diabetes mellitus (DM) 41 patients (39.05 percent) and 64 patients (60.95 percent) were non-DM patients. The characteristics of most ofthe patients who undergoing HD at UKI Hospital included: does not have diabetes, age at first HD was less than 53 years, male gender, education level above high school and using national Insurance (ASKES), vascular access using cimino, had a hypertension, did not have cardiovascular, and neverhad anemia. Diabetic patients on HD had 3.8 times the risk of mortality compared to non-diabetic patients. Furthermore, patients with education lower than high school had 4.6 times the risk of dying compared to patients with higher education. Sex has no effect on the survival time of patientson HD. There are differences in survival between diabetic and non-diabetic patients in hemodialysis. Survival of non-diabetic patients is better than patients with diabetes as a co-morbid. This study obtains the differences of the variables that affect the survival between diabetic and non-diabeticpatients. The significant confounding variables that effect survival on hemodialysis patients by comorbid diabetes and non-diabetes is education, source of cost hemodialysis, vascular access, and hypertension.
机译：与非糖尿病患者相比，血液透析患者（HD）患者的存活率较差。本研究旨在了解富利医院雅加达2011-2015血液透析患者特征的介绍，并比较糖尿病患者的生存患者，糖尿病患者和没有糖尿病的患者的患者。本研究使用了从Uki医院雅加达患者诊断患者患者的患者的患者收集的二级数据，并患有慢性肾病（CKD）和终末期肾病（ESRD）。本研究的受试者数量是105名患者。研究设计是从2011年1月到2015年1月到2015年1月的四年持续时间的回顾队长。包括的变量是第一个高清，性别，教育，保险类型，血管进入，心血管，高血压和贫血。使用Kaplan-Meier和Cox比例危害的数据分析表现出。根据105例患者的数据，38名患者（36.2％）在研究期间死亡，45名患者（42.85％）仍在高清中，直至研究结束，3名患者（2.85％）被住院和19名患者（18名％）其他人消失从观察。所有没有死亡的患者都是67人（63.8％），并被称为审查的案件。具有合并糖尿病的高清患者数量（DM）41例（39.05％）和64名患者（60.95％）是非DM患者。大多数在Uki医院接受高清患者的特点：没有糖尿病，最初的高清年龄不到53岁，男性性别，教育水平高出高中，使用国民保险（询问），使用CIMINO，血管进入血管进入，患有高血压，没有心血管和缺血性贫血。与非糖尿病患者相比，HD患者的糖尿病患者具有3.8倍的死亡风险。此外，与高中教育的患者相比，与高等教育的患者相比，死亡风险有46倍。性对患者HD的生存时间没有影响。糖尿病患者血液透析患者之间存在差异。非糖尿病患者的存活优于糖尿病患者作为糖尿病的患者。该研究获得了影响糖尿病和非糖尿病患者之间存活的变量的差异。通过共聚糖尿病和非糖尿病对血液透析患者生存的显着混淆变量是教育，成本血液透析，血管进入和高血压来源。

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