Description

Wright classified patients with end-stage renal disease (ESRD) requiring dialysis into mortality risk groups. This can help identify patients who may benefit from more aggressive management. The author is from the Jackson Clinic n Jackson, Tennessee.


 

Parameters:

(1) age of the patient in years

(2) diabetes mellitus

(3) significant cardiac disease

(4) significant pulmonary disease

(5) other organ dysfunctions/failures

(6) history of malignancy other than squamous or basal cell carcinomas of the skin

 

Significant cardiac disease - one or more of the following:

(1) angina

(2) coronary artery bypass surgery

(3) congestive heart failure

(4) ventricular arrhythmia

 

Significant pulmonary disease - one or both of the following:

(1) FEV1 < 1 liter/second

(2) PaO2 < 60 torr on room air

Age

Concurrent Disease

Risk Group

< 70 years

none

low

70 - 80 years

none

average

> 80 years

none

high

< 70 years

diabetes mellitus without other comorbid disease

average

>= 70 years

diabetes mellitus

high

any

significant cardiac or lung disease

average

< 70 years

diabetes and significant cardiac or lung disease

high

any

dysfunction in >= 2 nonrenal organs

high

any

malignancy (other than squamous or basal cell of the skin)

high

 


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