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Survey mortality risks according to ARO score in maintenance hemodialysis patients at Military Hospital 103
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Abstract
SUMMARY
A SURVEY ON THE MORTALITY RISKS ACCORDING TO ARO SCORE IN MAINTENANCE HEMODIALYSIS PATIENTS AT MILITARY HOSPITAL 103
Objective: To survey mortality risks according to ARO risk score and its relation with some clinical and preclinical criteria in maintenance hemodialysis patients at Military Hospital 103.
Patients and methods: A descriptive, cross-sectional study in 132 hemodialysis patients at Military Hospital 103 from October 2022 to March 2023. The all-cause mortality risks in 1 year and two years were assessed according to ARO risk score based on input variables including age, smoking status, etiology of chronic kidney disease, cardiovascular disease history, cancer history, body mass index, vascular access in the first 90 days of hemodialysis, actual blood flow, hemoglobin, serum ferritin, CRP level, serum creatinine, serum total calcium, serum albumin. The mortality risk score is calculated based on online software: https://aro-score.askimed.com/. Depending on the calculated risk score, the mortality risks were divided into three levels: low, moderate, and high.
Results: The mean one-year all-cause mortality risk was 13.4%, and the rates of patients at low, moderate and high mortality risks were 39.4%, 37.9% and 22.7%, respectively. The mean two-year all-cause mortality risk was 18.4%, the rates of patients at low, moderate and high mortality risks were 52.3%, 24.2% and 23.5%, respectively. Mortality risks were higher in patients with old age, decreased HDL-C level, general dyslipidemia, elevated serum CRP level but they were not associated with gender, hemodialysis time, serum cholesterol, triglyceride, LDL-C levels.
Conclusion: one-year and two-year all-cause mortality risks in maintenance hemodialysis patients were high. Increasing age, decreased HDL-C level, general dyslipidemia, and elevated serum CRP level could affect increasing mortality risks in maintenance hemodialysis patients.
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Keywords
ARO score, hemodialysis, mortality risks
References
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