Evaluation of the Mortality Risk by Using Clinical Data from Hemodialysis Patients

• Main Authors: Chia-Chen Lin, 林佳蓁
• Other Authors: Ya-Suey Cheng
• Format: Others
• Language: zh-TW
• Online Access: http://ndltd.ncl.edu.tw/handle/85271885048450092468

碩士 === 元智大學 === 管理碩士在職專班 === 102 === The progress of society and extension of average life expectancy has resulted in once-prevalent acute diseases being replaced by the current trends of chronic diseases. Occupying the tenth place of the top ten causes of deaths in Taiwan are nephritis, nephrotic syndrome and nephrosis. The alternative treatments for these kidney diseases used to be very costly. However, with a flourishing economy and the implementation of the National Health Insurance, the financial burdens placed on kidney disease patients have been lowered substantially. The efforts made by the medical professionals in the field of kidney medicine have increased the dialysis care quality, reduced the inpatient rates and mortality rates of patients. The purpose of this study is to analyze the relationship between surviving and deceased patients from blood test reports. The items we looked at included basic information such as patient’s age, gender ratio and tracking time, and the blood test data such as blood urea nitrogen (BUN) clearance, average value of BUN dialysis efficacy, serum albumin, serum cholesterol, serum triglycerides, serum potassium ions and hematocrit. Our study results showed that there are no significant differences in gender; age-wise the percentage of surviving older patients are fewer than deceased older patients, which represented higher mortality rate in older patients; the values of serum albumin, cholesterol, triglyceride, potassium ions and hemocrits were significant in the variable analysis, demonstrating their strong correlation to rate of dialysis mortality. The BUN clearance and efficacy values of the average BUN dialysis were not shown to be significant.