Professional paper

Renal replacement theraphy with chronic hemodialysis in the University Hospital Center Rijeka

Lidija Orlić ; Zavod za nefrologiju i dijalizu, Klinika za internu medicinu, Klinički bolnički centar Rijeka
Branka Sladoje Martinović ; Zavod za nefrologiju i dijalizu, Klinika za internu medicinu, Klinički bolnički centar Rijeka
Ivica Maleta ; Zavod za nefrologiju i dijalizu, Klinika za internu medicinu, Klinički bolnički centar Rijeka
Stela Živčić-Ćosić ; Zavod za nefrologiju i dijalizu, Klinika za internu medicinu, Klinički bolnički centar Rijeka
Sretenka Vuksanović-Mikuličić ; Zavod za nefrologiju i dijalizu, Klinika za internu medicinu, Klinički bolnički centar Rijeka
Sanjin Rački ; Zavod za nefrologiju i dijalizu, Klinika za internu medicinu, Klinički bolnički centar Rijeka

Abstract

Aim. To analyze the incidence of hemodialysis, patient’s age and causes of endstage
renal disease (ESRD) in the University Hospital Center Rijeka from 1966 to 2009.
Methods. Retrospective, observation study of the patient’s medical records. Results. In the
period from 1966 to 2009 hemodialysis was started in 1336 patients (813 men and 523
women). Until 1970, the number of new patients was from two to five. From 1971 till 1985
the number of new patients on hemodialysis year was from 10 to 19. From 1986 till 1990
the number of new patients was in the range of 25 and 42 per year. During nineties, the
number of new dialysis patients was still growing up to 50 patients per year. From 2000 to
2007 the number of new patients was 50 to 60 per year. The largest number of new patients
was in 2005 (63 patients). The mean age of the patients who started hemodialysis in 1966
was 29.5 years. Over the years mean age was growing steadily up to 70 years recorded in
2009. The proportion of elderly patients over 65 years increased by years and in 2005 their
percentage reached 65 among new patients on hemodialysis. In last ten years, the leading
cause of ESRD was diabetic nephropathy followed by nephrosclerosis. Earlier causes of ESRD
were glomerulonephritis and pyelonephritis. Conclusion. The incidence of new patients increased
until 2005. The mean age of new patients increased every year. Today, the largest
proportion of patients are older than 65 years. The leading causes of ESRD today are diabetic
nephropathy and nephrosclerosis.

Keywords

age; causes of ESRD; hemodialysis; incidence

Hrčak ID:

63077

URI

https://hrcak.srce.hr/63077

Publication date:

8.12.2010.

Article data in other languages: croatian

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