Wenwen Ren, Guiju Gao, Yajuan Fang, Tongtong Wang, Chunyu Zhu, Jiang Xiao, Fang Wang, Liang Ni and Di Yang
Background: To investigate the long-term survival rate and influencing factors for long term survival of patients who are under the treatment of Maintenance Hemodialysis (MHD) patients while carrying Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) in Beijing Ditan hospital.
Objectives: 30 MHD patients with HIV/AIDS were retrospectively investigated. Patients who were under MHD treatment for ≥ 3 months at a single center, which was the blood purification department of Beijing Ditan hospital, were selected.
Methods: The cases were divided into two groups. The risk factors affecting the survival of patients were compared, and Cox regression was used to predict the independent risk factors affecting the long term survival.
Results: Among 30 MHD patients with HIV/AIDS, The 1 year survival rate was 86.7% (26/30), the 5 years survival rate was 60% (18/30). Cox regression found that HIV clinical stage at effective Antiretroviral Therapy (ART) initiation and urea clearance index (KT/V) were independent risk factors for long term survival of MHD patients with HIV/AIDS.
Conclusion: Effective ART therapy, control of complications of chronic kidney disease and qualified dialysis adequacy may become important survival factors affecting MHD patients with HIV/AIDS.