Introduction:In the chronic disorders like CKD, the quality of life is measured in terms of length of hospital stay and risk of mortality. The aim of this study is to present how Physical component summary(PCS) scores and Mental component summary(MCS) scores affects the quality of life in ESRD patients, that is length of hospital stay and risk of death. Method and Results:A Prospective observational and interventional study has been conducted in ESRD patients(N=72), of age > 21yrs and who completed maintenance haemodialysis for more than three months at least twice in a week were studied for a period of six months to assess the effects of PCS and MCS on their quality of life. The study instrument KDQOL-SF36 was administered twice to the study groups, at 0th month and 6th month. Simultaneously the length of hospital stay was calculated and compared with the PCS and MCS at beginning and end of the study. During the study period, many efforts were made to improve the patient condition, which also includes patient counseling. Results clearly shown the significant improvement in PCS and MCS with P-value<0.005 via Pearson correlation and paired T-test in all age groups. The improvement seen was highest in males with the age groups of 66-80yrs with 48.87% and also in patients undergoing hemodialysis for a period of 31-36 months with 44.44% . The length of hospital stay for age groups 66-80yrs and for patients undergoing hemodialysis over a period of 31-36 months has been reduced from 36days per 3months(prior to the study) to 30 days per 3months (at the end of study) which was significant. There is a minor improvement in lab findings which does not have any statistical importance. Conclusion:The results produced in this study clearly indicates that the PCS and MCS are one of the most reliable tools to estimate QOL in ESRD patients, but the risk of death cannot be estimated as it is caused by many reasons and the co-morbid conditions produced by acute infections may lead to errors in the calculation of length of hospital stay, which requires further more studies.
