Riza Muhammad Zulham, - and Santi Martini, - and Sri Widati, - and Widodo, - (2019) Risk Factor of Early Death in Diabetic Terminal Renal Failure Patients Receiving Hemodialysis. Indian Journal of Forensic Medicine & Toxicology, 13 (4). 1591- 1596. ISSN 0973-9130

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Abstract

Early death in terminal renal failure disease is mortality from all causes in first 3 months (90 days) after being started dialysis, especially patient with high risk end stage renal disease including history of Diabetes Mellitus (DM). Around 10% from adult people population are diagnosed chronic kidney disease and 12.6%-32% of all mortality rates in first year in dr. Soetomo Hospital has DM history and has risk to suffer from early death. This study aimed to analyze risk factors for early death in diabetic terminal renal failure patients receiving hemodialysis. This study was conducted for 4 months (September to December 2018) in dr. Soetomo Hospital, Surabaya. Affordable population of terminal renak failure patient with DM history who underwent hemodialysis for the first time in Regional Public Hispital of dr. Soetomo Hospital in January 2015 to December 2017. Sampling techniques used was total sampling (211 patients). Data were collected from medical records, then analyzed by using logistic regression test. The determinants of early death in diabetic terminal renal failure patients receiving hemodialysis were poor nutritional status, pleural effusion, sepsis, metabolic acidosis, and intra HD complication.

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