The Evaluation & Analysis of the Risk of Mortality for Patients Receiving Long -Term Hemodialysis Proposal

碩士 === 臺北醫學大學 === 醫學資訊研究所 === 98 === The main purpose of this study is to investigate the predictive factors of mortality in those received hemodialysis treatment patients. This is a retrospective study which covered 992 patients with end-stage renal disease (ESRD) who had received hemodialysis trea...

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Bibliographic Details
Main Authors: Shih-Yuan Huang, 黃世淵
Other Authors: I-Jen Chiang
Format: Others
Language:zh-TW
Published: 2009
Online Access:http://ndltd.ncl.edu.tw/handle/73988183624125524506
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Summary:碩士 === 臺北醫學大學 === 醫學資訊研究所 === 98 === The main purpose of this study is to investigate the predictive factors of mortality in those received hemodialysis treatment patients. This is a retrospective study which covered 992 patients with end-stage renal disease (ESRD) who had received hemodialysis treatment in a medial center of northern Taiwan and its two branches. The basic data of patients were collected from their medical records, and laboratory examinations from the periods of 2003/02-2008/08. Both descriptive and data mining statistical analyses such as Classification and Regression Tree、Mann-Whitney U Test、X2 Test、Pearson Correlation、Nomogram、Box plot were used to analyze the factors. The results are as follows: 1) Albumin and Age are the most important risk factors which could be used to predict the mortality of received hemodialysis treatment patients in the regular 3 month examinations. 2) In the subgroup(Albumin≧3.5 , Age<=62),the odds ratio of comobility with Diabetes Group is 5.45 times than Non Diabetes group. 3) In the subgroup(ALB<3.5 , AGE>62), it shows Albumin and Creatinine are the major risk factors of mortality. It is hoped that the results could provide valuable references to researchers who may interested in relevant topics, and also provide medical workers a prospects guidelines for evaluating the prognoses of patients who were continue receiving hemodialysis treatment, and to avoid the progress of death preventively.