30Apr 2017

UNEXPECTED DEATH OF REGULAR HEMODIALYSIS PATIENTS.

  • Osaka Medical Examiner Office, Osaka city, Japan.
  • Department of Legal Medicine, Shiga University of Medical Science, Otsu City, Japan.
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Background: Most patients with end-stage renal disease on maintenance hemodialysis receive treatment on a thrice-weekly pattern. Almost all outside-clinic deaths are examined in the medical examiner?s office. Method: We examined outside-clinic death cases in hemodialysis patients. Results: First discoverer of the deceased were family (53.5%), clinic worker (11.4%), care taker (11.4%) and others. Hemodialysis patients have to attend their scheduled treatment. The deceased were increased Mondays associated with about 32.3% in the Mon-Wed-Fri schedule, and Tuesdays with 29.2% in the Tue-Thu-Sat schedule. 26.9% deceased were found because they didn?t come to the hemodialysis clinic. Conclusion: All deceased were found within 3 days. Periodic hemodialysis in the clinic may be preventing the death without founding for a long period.


  1. Diaz-Buxo JA, White SA, Himmele R. Frequent hemodialysis: a critical review. Semin Dial 2013; 26: 578-589.
  2. Chertow GM, Lecin NW, Beck GJ. In-center hemodialysis six times per week versus three times per week. N Eng J Med 2010; 363: 2287-2300.
  3. Hall YN, Lerive B, Painter P. Effects of six versus three times per week hemodialysis on physical performance, health, and functioning: Frequent Hemodialysis Network (FHN) randomized trials. Clin J Am SocNephrol 2012; 7: 782-794.
  4. Chan CT, Greene T, Chertow GM. Effects of frequent hemodialysis on ventricular volumes and left ventricular remodeling. Clin J Am SocNephrol 2013; 8: 2106-2116.
  5. Population Census [Statistics Bureau Website], 2014. Available at: http://www.stat.go.jp/english/data/kokusei/2010/poj/pdf/2010ch10.pdf. Accessed July 1, 2014.
  6. Bleyer AJ, Russell GB, Satko SG. Sudden and cardiac death rates in haemodialysis patients. Kidney Int 1999; 55: 1553-1559.
  7. Bleyer AJ, Hartman J, Brannon PC. Characteristics of sudden death in haemodialysis patients. Kidney Int 2006; 69: 2268-2273.
  8. Genovesi S, Valsecci MG, Rossi E. Sudden death and associated factors in a historical cohort of chronic haemodialysis patients. Nephrol Dial Transplant 2009; 24: 2529-2536.
  9. Zhang H, Schaubel DE, Kalbfleisch JD. Dialysis outcome and analysis of practice patterns suggests the dialysis schedule affects day-of-week mortality. Kidney Int 2012; 81: 1108-1115.
  10. Pun PH, Lehrich RW, Honeycutt EF. Modifiable risk factors associated with sudden cardiac arrest within hemodialysis clinics. Kidney Int 2011; 79: 218-227.
  11. Krishnasamy R, Badve SV, Hawley CM. Daily variation in death in patients treated by long-term dialysis: comparison of in-center hemodialysis to peritoneal and home hemodialysis. Am J Kidney Dis 2013; 61: 96-103.
  12. Cabinet office. Life style of aging people, In: Cabinet office, eds. Annual Report on the Aging Society. Tokyo, PA: Government publication; 2013: 43-45.

[Satoshi Furukawa, Katsuji Nishi, Satomu Morita, Masahito Hitosugi and Hiroshi Matsumoto. (2017); UNEXPECTED DEATH OF REGULAR HEMODIALYSIS PATIENTS. Int. J. of Adv. Res. 5 (Apr). 1922-1925] (ISSN 2320-5407). www.journalijar.com


Satoshi Furukawa
The department of Legal Medicine, Shiga University of Medical Science, JAPAN

DOI:


Article DOI: 10.21474/IJAR01/4032      
DOI URL: http://dx.doi.org/10.21474/IJAR01/4032