Predictive value violation of the respiratory function in patient with end-stage chronic renal failure on hemodialysis
Aim. To study the prognostic value of lung ventilation function on outcomes in patients with end-stage chronic renal failure in a prospective surveillance. Materials and methods. There were examined 100 patients with end-stage renal disease receiving hemodialysis. During the annual prospective study evaluated the relationship of all-cause mortality and the combined endpoint of the gravity of the breach of respiratory function in patients with end-stage renal disease on hemodialysis. Existence of a breach of respiratory function and its severity was assessed using a computer spirometry which was carried out on a computer spirograph «Spirotest» (Russia). Results. On the analyzing the effect of reducing lung ventilation function was done statistically significant increase in both all-cause mortality and the combined endpoint of reduction in the vital capacity (p = 0.021 and p = 0.001, respectively). It revealed a direct correlation between the decrease in vital capacity and the frequency of occurrence of endpoints. Conclusion. Violation of the parameters of respiratory function is predictive of poor prognosis in patients on hemodialysis. Detection of decline in respiratory function timely allows enough time to spend correction of therapy and thus not only improve the quality of life of these patients but also to reduce the incidence of adverse events.