Stroke in Hemodialysis Patients and Mortality

Introduction End Stage Renal Disease ESRD is associated with an increases risk of cerebrovascular accidents with significant morbidity and mortality. Stroke is the third most common cause of cardiovascular disease death in hemodialysis patients. Chronic renal disease is an independent risk factor for stroke in the general population. The American Heart Association and American Stroke Association have redefined a stroke as brain spinal or retinal cell death attributable ta ischemia , based on pathological, imaging, other objective evidence , and /or clinical evidence. Furthermore the new definition include the concept of “ silent infarction/ hemorrhage ”to take into account. Lesions were discovered on neuroimaging on neuro-pathological examination without a history of acute neurological dysfunction attributed to the lesion. Objective: To highlight the risk factors for stroke in our dialysis population, to see the prevalence of stroke in this population , and evident mortality rate among dialysis patient with stroke. Methods. We conducted a retrospective , qualitative and descriptive study wich involved 1732 patients from 5 different centers in the Amerikan Hospital starting November 2008 to December 2019. We evidenced 70 different case of cerebrovascular accidents. Also we took a control group of 70 dialysis patients to compare, ( those we did not select it preferentially but we selected according to the ordinal registrations in to the centers) Results A total number of 1732 patients were observed during November 2008 till December 2019. Of these 70 patients were diagnosed with cerebrovascular accidents. The mean age was 57.6 years. 33patients were females (47%) and 37 patients were males (53%). 23 patients were younger than 55 years old and 47 patients (68% ) were older than 55 years . The mean age of the control group is 53.69 years. The vascular access in 22 patients was AVF (fistula 30.4 %) and 48 had a central venous catheter (69.6%). In t