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Survival of Patients on Hemodialysis with Erectile Dysfunction
- Source :
- Medicina; Volume 56; Issue 10; Pages: 500, Medicina, Volume 56, Issue 10, Medicina, Vol 56, Iss 500, p 500 (2020)
- Publication Year :
- 2020
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2020.
-
Abstract
- Background and objectives: In patients on hemodialysis, erectile dysfunction is an independent mortality factor. This study aimed to determine the risk factors that affect the survival of hemodialysis patients with erectile dysfunction. Materials and Methods: During a seven-year period, erectile dysfunction was identified among the fatalities reported in patients receiving chronic hemodialysis, on the basis of the International Index of Erectile Function questionnaire. The study covered 70 patients of mean age 57 &plusmn<br />6.7 years. During the examined period, 42 (60%) patients died at the mean age 57 &plusmn<br />6.8 years. The study was completed by 28 (40%) patients, aged 57 &plusmn<br />6.55 years. Laboratory, demographic, anthropometric, and clinical characteristics were recorded using standard methods. Results: Statistically significant differences between the two groups of respondents were found concerning dialysis duration (p &lt<br />0.001), number of leukocytes (p = 0.003), adequacy of hemodialysis (p = 0.004), intima media thickness of the carotid artery (p &lt<br />0.001), presence of cardiovascular disease (p = 0.03), residual diuresis (p = 0.04), and hemodiafiltration (p &lt<br />0.001). Hemodialysis adequacy (B = &minus<br />9.634<br />p = 0.017), intima media thickness (B = 0.022<br />p = 0.003), residual diuresis (B = &minus<br />0.060<br />p = 0.007), and lower rates of cardiovascular disease (B = 0.176<br />p = 0.034) were significant survival predictors among our patients with erectile dysfunction. Conclusions: Risk factors that are associated with improved survival of patients on hemodialysis with erectile dysfunction in our study are: preserved diuresis, high-quality hemodialysis, lower incidence of cardiovascular disease, and less thickening of the intima media of the carotid arteries.
- Subjects :
- Male
Medicine (General)
medicine.medical_specialty
erectile dysfunction
medicine.medical_treatment
030232 urology & nephrology
Urology
hemodialysis
survival parameters
mortality
cardiovascular disease
Diuresis
Disease
030204 cardiovascular system & hematology
Carotid Intima-Media Thickness
Article
03 medical and health sciences
R5-920
0302 clinical medicine
Renal Dialysis
Risk Factors
medicine
Humans
Chronic hemodialysis
Dialysis
business.industry
General Medicine
Anthropometry
Middle Aged
medicine.disease
3. Good health
Erectile dysfunction
Carotid Arteries
Intima-media thickness
Hemodialysis
business
Subjects
Details
- Language :
- English
- ISSN :
- 16489144
- Database :
- OpenAIRE
- Journal :
- Medicina; Volume 56; Issue 10; Pages: 500
- Accession number :
- edsair.doi.dedup.....b8e2e392c6ba5dda2ca781d0ece6f9f8
- Full Text :
- https://doi.org/10.3390/medicina56100500