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Objective: To determine the overall survival of patients on hemodialysis and prognostic factors associated. Methods: A retrospective cohort of patients who entered a chronic hemodialysis program at the Centro Nacional de Salud Renal of EsSALUD from 1994 and 2014. A total of 1789 patients were included, and data was gathered from the SIG version 2.0, which stores charts since 1994. The survival of the cohort and prognostic factors were evaluated. Results: Mean age was 49.7 ± 17.4 years; 779 (43.5%) were females; 393 (22%) were diabetics, and 592 (33.2%) had blood hypertension; 1408 (83%) had an arterio-venous fistula; 147 (8.16%) had positive serology for hepatitis C; 999 (55.84%) were admitted from 1994 to 2003 and 790 (44,16%) from 2003 to 2014. Survival of the cohort did not change by sex, presence of hypertension, serology at admission, or decade of admission. Multivariate analysis identified the age group above 50 years [HR: 3.72 (IC95%: 3.07 -- 4.50) p = 0.000] and use of catheters at admission to the chronic dialysis program [HR: 1.37 (IC95%: 1.07 -- 1.76): p = 0.010] as independent factors for lower survival. Conclusions: The survival was not affected by the decade of admission but by advanced age and use of catheters in the 20-year follow-up period. [ABSTRACT FROM AUTHOR]

Woman, 14 year old from San Martin (Peru), was admitted to hospital with a history of three months of dyspnea, pallor and hyporexia, and decreased urine volume in the last month. Two weeks before his admission presented overall headache, nausea and vomiting. She went to his local hospital where indicated treatment with ampicillin and gentamicin, on suspicion of acute pyelonephritis; but not observe improvement was transferred to our hospital. There were no important personal or family history, except her parents were consanguineous. On physical examination we found pallor, bilateral opacities in the lens, bilateral hearing loss and flapping. Laboratory tests showed anemia and azotemia (creatinine 15 mg/dL and urea 233 mg/dL). Urianalysis revealed tubular abnormalities, proteinuria and hematuria. Renal ultrasonography showed small kidneys. Ocular examination revealed nuclear polar cataract in her right eye and total cataract in the left eye. Audiometry revealed bilateral sensorineural hearing loss. [ABSTRACT FROM AUTHOR]