CHRONIC RENAL FAILURE IN NEPHROLOGIC PATIENTS IN ST.PETERSBURG ACCORDING TO THE DATA OF PATHOANATOMICAL EXAMINATIONS FOR THE YEARS 1993"2003

THE AIM of the work was to assess the structure and indices of lethality and approximate characteristics of mortality of nephrologic patients in St.Petersburg during the years 19932003. PATIENTS AND METHODS. The records of 110287 postmortal examinations were analyzed. Their results were assessed by at least three independent experts. The criterion of selection was the presence of a nephrologic pathology. Later on 16075 records were selected where the nephrologic pathology was combined with chronic renal failure (CRF). With the population of St.Petersburg taken into account (the data of the passport offices and the census of population, the technology and order of pathoanatomical examination, total number of the dead), the number of the dead with nephrologic pathology combined with chronic renal failure was counted per 1 million of population in a month depending on the direct cause of death according to the International Classification of Disease (ICD) 9 and ICD10. Mortality from each cause was estimated for each month of observation that later allowed to make an analysis of the corresponding mean (X) and standard deviations (±SD) as the main sign of variability of the temporal row and standard errors of the mean (m) as a measure of visualization of this variability. RESULTS. At the present time chronic renal failure is not the main cause of death in nephrological patients with CRF. The main part of nephrological patients die from cardiovascular diseases, not having lived till CRF. CONCLUSION. Diseases of the cardio vascular system were the main cause of lethal outcomes in nephrological patients at the period from 1993 till 2003. Diabetes mellitus is not the main cause of death in CRF patients given specialized nephrological and endocrinological care in St.Petersburg.

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