The Comparison Of The Comorbidities Of Patients With Peritoneal Dialysis And Hemodialysis With The Charlson Comorbidity Index

Öz

Aim: Hemodialysis and peritoneal dialysis are renal replacement treatment options in patients with chronic renal failure. Mortality and morbidity rates are higher in hemodialysis and peritoneal dialysis patients when compared to the healthy population. Comorbidities of the patients play roles in the high mortality and morbidity rates. In the present study, the comorbidities of hemodialysis and peritoneal dialysis patients were evaluated; and the Charlson Comorbidity Index, whose reliability was proven in many studies before, was compared and discussed. Materials and Method: A total of 154 patients (78 hemodialysis and 76 peritoneal dialysis patients), who were followed up for end-stage renal disease, were included in the study. The Charlson Comorbidity Index scores of the patients were calculated. The Charlson Comorbidity Index score and parameters were compared between patient groups on hemodialysis and peritoneal dialysis. Results: The Charlson Comorbidity Index was found to be significantly higher in peritoneal dialysis patients than in hemodialysis patients (p=0.001). It was also found that the frequency of congestive heart failure, cerebrovascular accident, and connective tissue, which are the parameters of the Charlson Comorbidity Index, were significantly different between the groups (p<0.05). Conclusion: Comorbidities that may cause mortality and morbidity were found to occur more frequently in peritoneal dialysis patients when compared to hemodialysis patients.

Anahtar Kelimeler

• Hemodialysis
• peritoneal dialysis
• Charlson Comorbidity Index

Periton Diyalizi Ve Hemodiyaliz Hastalarının Komorbiditelerinin Charlson Komorbidite İndeksi İle Karşılaştırılması

Öz

Amaç: Hemodiyaliz ve periton diyalizi kronik böbrek yetmezlikli hastalarda renal replasman tedavisi seçeneklerindendir. Hemodiyaliz ve periton diyalizi hastalarında sağlıklı popülasyona göre mortalite ve morbidite oranları yüksektir. Mortalite ve morbidite oranlarının yüksek olmasında hastaların sahip olduğu komorbiditelerde rol oynamaktadır. Biz bu çalışmada hemodiyaliz ve periton diyalizi hastalarının komorbiditelerini; daha önce güvenilirliği pek çok çalışma ile ispatlanmış olan Charlson Komorbidite İndeksi ile karşılaştırmayı ve tartışmayı amaçladık. Gereç ve yöntem: Çalışmamıza son dönem böbrek yetmezliği nedeni ile takip edilen 78 hemodiyaliz, 76 periton diyalizi hastası olmak üzere toplamda 154 hasta dahil edildi. Bu hastaların Charlson komorbidete indeksi puanları hesaplandı. Hemodiyaliz ve periton diyalizindeki hasta grupları arasında Charlson komorbidite indeksi skoru ve parametreleri karşılaştırıldı. Bulgular: Charlson komorbidite indeksi periton diyalizi hastalarında hemodiyaliz hastalarına göre anlamlı şekilde yüksek bulundu(p=0.001). Gruplar arasında Charlson Komorbidite İndeksi parametrelerinden olan konjestif kalp yetmezliği, serebrovasküler olay ve konnektif bağ dokusu sıklığının anlamlı şekilde farklı olduğu görüldü(p<0.05). Sonuç: Periton diyalizi yapan hastalarda hemodiyaliz hastalarına göre mortalite ve morbiditeye neden olabilecek komorbiditeler daha sık bulunmuştur.

Anahtar Kelimeler

• Hemodiyaliz
• Periton diyalizi
• Charlson komorbidite indeksi

Kaynakça

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