Twenty years of the Polyclinic for Hemodialysis Interdial Opatija

摘要

Aim: The presentation of twenty years of uninterrupted work of the Polyclinic forhemodialysis “Interdial” from 1990 to 2010. Methods: A retrospective analysis of data fromexisting medical records. Results: A total of 114 patients treated since the beginning of Polyclinic(1990) until today. The analysis did not revealed data from guest patients treated inholiday dialysis. The first 10 years of continuous work the number of patients did not exceed23. The upward trend in the number of patients continued in the last 10 years of work. Themaximum number of regular patients was of 47 in 2009. Today, Polyclinic has 44 permanentpatients. The average age of patients in the analyzed period was 60,74 years. In the periodfrom 1990 to 2000 year was 51,52 years and from 2000 until 2009 it was 62,72 years. Thetreatment of renal anemia with erythropoesis stimulating agents (ESA) was not a regularuntil 2000 when the first issued guidelines for treating anemia in dialysis patients were publishedin Croatia and immediately applied in the Polyclinic. In the first 10 years, glomerulonephritisand pyelonephritis were the leading cause of end-stage renal failure (ESRD), buttoday, diabetes and vascular kidney diseases are predominant and it is associated with agrowing number of elderly people. Conclusion: There is a trend of increasing number of patientstreated with hemodialysis. The leading cause of ESRD today is diabetes. The averageage of patients on dialysis is increasing and the development of medicine and technology isgrowing resulting with the better quality of life of patients on dialysis.