Harrison D
Outcome of HIV-infected patients on hemodialysis
Am Soc Nephrol
J Am Soc Nephrol (abstract)
(Nov) 6:532 1995
This abstract reports on sixty one HIV-infected hemodialysis patients
started on HD between 1987 and 1994 (60% after 1992). All patients were
black,
45% were IV drug users and the mean age was 39 yrs. Seventy two percent of
patients had CD4 counts less than 200/ul, 86% had nephrotic range
proteinuria. Within 3 months of initiation, 10 patients died. The
survival at 1, 2 and 3 years was 50%, 30% and 10% overall; survival was 67%
at one year for IV drug users, and 45% for non-IV drug users. Half of the
patients died of infections; AIDS-related complications were common. These
data suggest that the survival of HIV-infected dialysis patients is better
than early reports in the literature suggest, and that mortality is related
in large part to the complications of HIV.
(Pastan)
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Am Soc Nephrol
CRF by problem area :
Infections (other than hepatitis, peritonitis)
CRF: Problem Areas :
Outcomes (Morbidity, Mortality)