24 From Table 2.9.1 death rates on HD have
consistently been 10 or lower per year from 1980’s when mainly young patients were selected
for chronic dialysis to 2000’s when a much higher proportion of older and diabetic patients were
accepted into the programme. There may possibly be a trend towards higher mortality in HD patients
over the last 3 years as shown in Figure 2.7.1. CAPD patients showed a consistently higher
mortality compared with HD with large fluctuations
2.9 Death on Dialysis
in the early years but averaging between 14 to 18 per year in the last 10 years.
The data on causes of death is not as reliable. Cardiovascular mortality and death at home still
remain the two commonest causes of death with sepsis either as the second or third commonest
cause of death. CAPD peritonitis accounted for less than 4 of the total causes of death Table 2.9.2.
Table 2.9.1 Deaths on Dialysis 1980 – 2003
Year 1980
1981 1982
1983 1984
1985 1986
1987 1988
1989 1990
1991 No. of dialysis patients
at risk 59
92 160
224 293
370 437
505 589
669 771
905 Dialysis deaths
6 3
14 22
27 26
47 31
38 65
70 87
Dialysis death rate 10
3 9
10 9
7 11
6 6
10 9
10 No. of HD patients at
risk 59
90 155
216 270
332 396
460 535
616 708
810 HD deaths
5 3
14 22
24 19
38 26
28 52
62 69
HD death rate 8
3 9
10 9
6 10
6 5
8 9
9 No. of CAPD patients at
risk 2
5 8
24 39
41 45
54 54
64 95
CAPD deaths 1
3 7
9 5
10 13
8 18
CAPD death rate 13
18 22
11 19
24 13
19 Year
1992 1993
1994 1995
1996 1997
1998 1999
2000 2001
2002 2003
No. of dialysis patients at risk
1075 1289
1571 1987
2572 3302
4104 5021
6093 7219
8365 9375
Dialysis deaths 95
102 146
178 222
314 373
486 581
786 874
993 Dialysis death rate
9 8
9 9
9 10
9 10
10 11
10 11
No. of HD patients at risk
938 1112
1353 1700
2189 2831
3584 4454
5466 6506
7523 8393
HD deaths 72
79 104
120 160
241 299
386 491
658 759
826 HD death rate
8 7
8 7
7 9
8 9
9 10
10 10
No. of CAPD patients at risk
137 177
218 287
384 471
521 567
627 713
842 982
CAPD deaths 23
23 42
58 62
73 74
100 90
128 115
167 CAPD death rate
17 13
19 20
16 15
14 18
14 18
14 17
Figure 2.9.1 Death Rates on Dialysis 1980 – 2003
D e
at h r
a te
D e a t h ra t e s o n d ia l y s is , 1 9 8 0 t o 2 0 0 3
Y e a r A n n u a l d e a t h r a t e o n H D
A n nu a l d ea t h r a te o n C A PD
1 9 8 0 1 9 8 1 1 9 8 2 1 9 8 3 1 9 8 4 1 9 8 5 1 9 86 1 9 8 7 1 9 8 8 1 9 8 9 1 9 9 0 1 9 91 1 9 9 2 1 9 9 3 1 9 9 4 1 9 9 5 1 9 96 1 9 9 7 1 9 9 8 1 9 9 9 2 0 0 0 2 0 01 2 0 0 2 2 0 0 1 0
2 0 3 0
25
Table 2.9.2 Causes of Death on Dialysis 1980 - 2003
