Assessing 90-Day Mortality Rates Among Chronic Kidney  Disease Patients Initiating Hemodialysis

Background: Patients with end-stage renal disease have a mortality rate 10–30 times higher than the overall population. It's still unknown when the dialysis vintage-related deaths occurred. Hemodialysis patients may have the highest mortality risk shortly after starting treatment; the cause of this is still unknown. The purpose of this study was to estimate the 90-day mortality rate, or early mortality rate, for patients beginning maintenance hemodialysis. Methods: Between February and December 2024, 354 patients with end-stage renal disease who had started maintenance hemodialysis at Liaquat University Hospital in Hyderabad participated in this study via non-probability consecutive sampling technique. Every patient was monitored for 90 days since start of dialysis and early mortality rate i.e. “90-days mortality rate from the day of initiation of dialysis was calculated”. SPSS-26 was used to analyze the collected data. Mean and standard deviations for the quantitative variables were calculated. Frequencies and percentages were calculated for the qualitative variables. Results:The mean age of the participants was 54.86 + 16.49 years. 227 (64.1%) of the participants wer male while 127 (35.9%) were female. The most common cause of ESRD found was glomerulonephritis (GN) in 142(40.1%) patients. 45 (12.7%) were alive at the end of the 3 months study period while 309 (87.3%) had passed away. patients with an eGFR >10mL/min/1.73m2 and with any aetiology except renal calculi had a greater risk of early mortality Conclusion: The 90-day (early) mortality rate is significantly high i.e. 87.10% in patients initiating maintenance hemodialysis in our study, and special attention should be given to such patients.