Long-term Survival Analysis of 30 Maintenance Hemodialysis Pa-tients with HIV infection in a Single-center in China.

Abstract

Maintenance hemodialysis (MHD) patients with HIV infection have a high mortality rate. A number of factors influence the survival rate of these patients. Our aim was to determine the risk factors of survival time of MHD patients with HIV. 30 MHD patients with HIV were retrospectively investigated. The cases were divided into two groups predicated on the dialysis time (≤1year, ＞1year). Risk factors affecting the survival of patients were compared. Cox regression and the life table method were used to predict the independent risk factors affecting long-term survival. Among 30 MHD patients with HIV infection, the 1-year survival rate was 86.7% (26/30) and the 5-year survival rate was 60% (18/30). Cox regres-sion showed that HIV clinical phase and urea clearance index (KT/V) were in-dependent risk factors for the long-term survival of MHD patients with HIV. Effective antiviral therapy (ART), control of complications of chronic kidney disease and qualified dialysis adequacy may become important survival factors affecting MHD patients with HIV infection.