title: Mortality in patients with chronic kidney disease undergoing hemodialysis in a public hospital of Peru.
abstract: BACKGROUND
  The Peruvian Ministry of Health does not have a national program of hemodialysis and hospitals that offer it have coverage problems, which may result in increased mortality.
  
  
  OBJECTIVE
  We evaluated mortality of a population with incident hemodialysis in a Peruvian public hospital as well as its associated factors.
  
  
  METHODS
  Retrospective and descriptive study of a population over 18 years-old who started treatment between January 1, 2012 and December 31, 2013 with the final follow-up day on31 March 2014. We used bivariate and multivariate logistic regression models to evaluate factors associated with mortality and Kaplan Meier curves were used to determine the probability of survival.
  
  
  RESULTS
  We included 235 patients with a mean age of 56.4 ± 15.8 years. Median follow-up was 0.6 years (IQR 0.3 to 1.5). 50% of years withdrew from therapy during the study for lack of financial resources or space available. The third month mortality was 37.7% (95% CI 4.7 to 48.5) and 49.5% (95% CI 5.8 to 61.4) at 7 months. There was a trend towards lower mortality when patients had more than 6 months with a diagnosis of chronic kidney disease (CKD) (OR = 0.39 [95% CI 0.12 to 1.27]) and when the patient was admitted with scheduled dialysis (OR = 0.28 [95% CI 0.01 to 2.28]).
  
  
  CONCLUSIONS
  Half of patients died within seven months of follow-up. Scheduled dialysis and having longer time with CKD diagnosis tend to be associated with lower mortality.
authors.affiliation: Universidade Nacional de Piura, Peru.
authors.forename: Percy
authors.initials: P
authors.lastname: Herrera-Añazco
authors.affiliation: Universidade de San Martín de Porres, Peru.
authors.forename: Vicente
authors.initials: V
authors.lastname: Benites-Zapata
authors.affiliation: Universidade Peruana de Ciencias Aplicadas, Peru.
authors.forename: Adrian V
authors.initials: AV
authors.lastname: Hernandez
authors.affiliation: Universidade Peruana de Ciencias Aplicadas, Peru.
authors.forename: Edward
authors.initials: E
authors.lastname: Mezones-Holguin
authors.affiliation: Universidade Nacional Federico Villarreal, Peru.
authors.forename: Manuela
authors.initials: M
authors.lastname: Silveira-Chau
mesh_terms: D005260:Female; D006779:Hospitals, Public; D006801:Humans; D008297:Male; D008875:Middle Aged; D010568:Peru / Q000453:epidemiology; D006435:Renal Dialysis; D051436:Renal Insufficiency, Chronic / Q000401:mortality* / Q000628:therapy*; D012189:Retrospective Studies