혈액투석 환자에서 사망의 예측인자로서 투석 초기의 혈청 생화학적 지표의 의의

To investigate the influence of first six-month mean for serum biochemical markers, albumin, cho- lesterol, triglyceride, inorganic phosphate, BUN, creatinine, on survival in hemodialysis, we retrospectively analyzed the 57 patients who were monitored from the start of HD for more than 6 months between January 1988 and December 1995. Exclusion criteria were as follows:' transfer to CAPD, transp- lantation or another dialysis center, HD for less than 6 months, noncompliant, death due to malignant disease, accident and self-withdrawal. The patients were divided into two groups according to the demographic characteristics and the median value of first six-month mean for serum biochemical markers. The mean age was 46.7±11.7 year, male-to fernale ratio was 1.6:1, diabetics were 12 (21.1%), and mean follow-up duration was 39.0±26.4 months. Among them 30 patients (52.6%) were died. Diabetic patients had significantly lower 1 year (63.6 vs. 88.8%, p