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A SURVEY ON THE CARDIOVASCULAR MORBIDITY AND MORTALITY RISKS ACCORDING TO ARO RISK SCORE IN MAINTENANCE HEMODIASIS PATIENTS AT MILITARY HOSPITAL 103
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Abstract
Objective: To survey cardiovascular morbidity and mortality risks according to ARO risk score in maintenance hemodialysis patients at Military Hospital 103. Patients and methods: A descriptive, cross-sectional study in 132 hemodialysis patients at Military Hospital 103 from March 2023 to October 2023. The two-year cardiovascular mortality risk and two-year cardiovascular morbidity and mortality risk were assessed according to ARO risk score based on input variables including: age, smoking status, etiology of chronic kidney disease, cardiovascular disease history, cancer history, body mass index, vascular access in the first 90 days of hemodialysis, actual blood flow, haemoglobin, serum ferritin, CRP level, serum creatinine, serum total calcium, serum albumin. Risk scores were calculated based on online software: https://aro-score.askimed.com/. Depending on the calculated risk score, the cardiovascular morbidity and mortality risks were divided into 3 levels: low, moderate, and high. Results: The mean two-year cardiovascular mortality risk was 7.8%, the rates of patients at low, moderate and high risks were 59.8%, 22.0% and 18.2%, respectively. The mean two–year cardiovascular morbidity and mortality risk was 30.2%, the rates of patients at low, moderate and high risks were 33.3%, 31.8% and 34.9%, respectively. The two-year cardiovascular mortality risk and two-year cardiovascular morbidity and mortality risk were higher in patients with old age, decreased HDL-C level, general dyslipidemia, elevated serum CRP level but they were not associated with gender, serum cholesterol, triglycerid, LDL-C levels. The two-year cardiovascular morbidity and mortality risk was related to time on hemodialysis. Conclusion: The cardiovascular morbidity and mortality risks in two years in maintenance hemodialysis patients were high. Old age, decreased HDL-C level, general dyslipidemia and elevated serum CRP level could associate with increasing in cardiovascular morbidity and mortality risks in maintenance hemodialysis.
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Keywords
cardiovascular morbidity, mortality risks, ARO score, hemodialysis
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