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논문분류	춘계학술대회 초록집
제목	Clinical Profile and Outcomes of Chronic Kidney Disease Patients Three Months After Initiation Hemodialysis: A Descriptive Prospective Study
저자	Michael Agoncillo
출판정보	2026; 2026(1):
키워드	Hemodialysis, Chronic Kidney Disease, Mortality, Readmission
초록	Objectives: Chronic Kidney Disease (CKD) remains one of the leading causes of morbidity and mortality globally. Mortality risk, in particular, increases with unplanned or emergency hemodialysis (HD). The first 90-120 days after initiation HD has shown to be a critical period, with risk for rehospitalization, infection, and death. This study aimed to determine the clinical profile of CKD patients and the outcomes three months after initiation of HD at a tertiary hospital in the Philippines. Methods: A prospective single-center observational study was done and included all adult CKD patients admitted in a tertiary public hospital from January to June 2025 who underwent initiation HD and was discharged on maintenance HD. Electronic medical records (EMR) were reviewed for baseline clinical profile. Patients were then interviewed three months after discharge to determine clinical outcomes. Results: A total of 132 patients were included. The mean age was 54 years, 50% were males, with a mean duration of hospital stay of 13.7 days for the initial admission. Hypertensive Kidney Disease was the most commonly identified etiology (75%) of CKD, with uremic symptoms being the most common indication for HD (84%). After three months, there was a 15.15% mortality rate and 49.17% readmission rate. Causes of mortality included unknown causes (35%) and septic shock (25%), while causes of readmission included faulty access (30%) and catheter-related bloodstream infection (28%). 66.67% claimed regular compliance to HD with 54.55% still using intrajugular access. Conclusion: CKD remains a common cause of admission, with uremia being a primary indication for emergency initiation HD. Three months after initiation HD, patients have increased risk for readmission and mortality, with common causes being access-related. Thus early conversion of temporary venous catheters and networking for CKD patients is imperative.
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