INTRODUCTION The aim of this study was to analyse outcome of new ESRD patients on haemodialysis. METHODS We analysed nember, demographic data, renal disease and mortality of new ESRD patients on haemodialysis (HD) in 16-months period. RESULTS We dialysed for the first time 74 patents with ESRD, 37 female (50%) and 37 male, average age 55.55 +/- 13.57 yrs. There were 3 patients younger than 30 yrs, 51 between 31-65 and 20 were older than 65 yrs. 29.73% of these patients were from Tuzla. Distribution of patients according to primary renal disease was: glomerulonephritis 20.77%, pyelonephrtis 14.86%, diabetes mellitus 13.86%, 29.74% others and 20.77% unknown. 11 patents (14.86%) were on HD less than 10 days, 11 patents (14.86%) were on HD less than 3 months, 35 patients (47.30%) were on HD less than 12 months, and 17 patients (22.98%) were on HD more than 12 months. 46 patients (62.16%) are still on HD, 18 (24.32%) died, 3 (4.05%) temporary stopped with HD treatments, 3 transplanted, for 3 there are no data, and 1 patient (1.35%) transferred in other center. Causes of death were as follows: unknown in 5 (27.78%), gynaecology carcinoma in 3 (16.67%), sepsis in 3 (16.67%), cardiovascular disease in (11.11%), cerebrovascular accident in 2 (11.11%), and others in 3 (4.05%) patients. In the group of died patients were 13 women (72.22%) and 5 men, average age 56.94? 13.09 yrs (28-61). CONCLUSION Leading primary renal diseases was glomerulonephitis, pyelonephritis and diabetes. Significant percent of new ESRD patients on HD die very early, and 77% of the patients live on HD less tan 12 months.

INTRODUCTION Renal transplantation has become the procedure of choice and the most cost-effective strategy for the management of patients with end stage renal disease. Posttransplant period is very important because possible complications, which have to be detected and treated according to approve statements. The aim this paper with is to show all characteristics of early postransplant period in patients operated at the Clinical Center of Tuzla. METHODS AND RESULTS Eighteen patients with end stage renal diseases has been analyzed with average age 32 + 8.6 years. Glomerulonephritis as primary kidney diseases has been found in 16 patients, lupus nephritis and reflux nephropathy in one patient. We paid attention on: creatinine level, urine output and balance, level of cyclosporin, body weight, ultrasound fallow-up, number episodes of acute rejection and number of additional dialysis. Clinical and labs sign of acute rejection have been found in 6 patients. Two of them recidive pulse dose of corticosteroides and four ATG. Additional haemodialysis has been performed in 5 patients. One patient died because of the rupture aneurism of aorta. Other 17 patients have been discharged after average hospitalisation of 20.87 8.18 days. CONCLUSION We can say it's very important to recognise the sings of acute rejection and to start with therapy. In patients with cardiovascular risk, postoperative period has to be guided careful.