ackground : Regular hemodialysis had been established as a way of treatment for end
stage renal failure. There are many report on long term follow-up for chronic hemodialysis
patients. We analysed the patients with chronic renal failure on hemodiaysis.
Methods : In a retrospective study, the survival rate and the causes of death were
analysed in 548 patients with chronic renal failure on hemodilysis during the period of 1982 to
1991, treated at the Hanyang University hospital. The patients were mostly dialysed 2 to 3
times a week for 4 to 5 hours.
Results : The demographic characteristics of these patients, male to female ratio was 58:42
and the mean age was 47.2±13.7 years. Underlying disorders of chronic renal failure
consisted of mainly chronic glomerulonephritis (23.5%), followed by diabetic nephropathy
(15.9%), and hypertensive nephrosclerosis (13.9%). The causes of death were most frequently
cerebrovascular accidents (25.9%), including hemorrage and infarction, followed by cardiac
disorders (19.4%), infections (16.7%), and gastrointestinal bleedings(6.5%). The overall of
survival rates in hemodialysis patients were 85.6% for 1 year, 75.3% for 2 years, 62.3% for 5
years, 33.7% for 10 years. Dividing into subgroups, renal failure due to diabetus and
hypertensive nephrosclerosis carried significantly poor outcomes. The survial rte of the older
patients were shorter than the younger patients (p<0.001).
Conclusion : We should pay attention to the hemodialysis patients during the first year
because survival rate of this period was shorter than other period.
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