Kt/v, mortality and risk of complications*

ABSTRACT

Background: Dialysis quality ismeasured by Kt/V, it is one of the most important parameter for assessing hemodialysis for patients. Decreased Kt/V is associated with increased mortality and increased risk of complications, normal or increased Kt/V is associated with decreased mortality and complication rates. Guidelines have recommended Kt/V of 1.2 as the minimum dose for thrice-weekly HD. We analyzed the Kt/v, mortality and risk of complications in our hemodialysis center patients Methods or Case description We analyzed patients from 2021-2022, within 1 year 50 patients undergoing hemodialysis 3 times a week were analyzed. Results or Learning points The average Kt/V was 1.38. Patient mortality was minimal during this period and was related to Covid 19 infection, 3 patients died, one from sepsis and two from Covid 19 infection. 5 patients were hospitalized several times with hyperhydration and accompanying consequences, which were not related to dialysis, but with non-compliance with the regimen and increased fluid intake. Conclusion(s) In general, the patients felt satisfactory and there were no complaints. Therefore, it can be considered that Kt/V above 1.3 is satisfactory and reduces the risk of mortality and complications.