Risk factors for hospitalization among older, incident haemodialysis patients

Autor: Robert C. Albright, Kimberly L. Schoonover, Marie C. Hogan, La Tonya J. Hickson, Amy W. Williams, Suzanne M. Norby, Sanjay Chaudhary, John J. Dillon, James T. McCarthy
Rok vydání: 2013
Předmět:
Zdroj: Nephrology. 18:712-717
ISSN: 1320-5358
DOI: 10.1111/nep.12129
Popis: Aims The number of elderly persons with end-stage renal disease is increasing with many requiring hospitalizations. This study examines the causes and predictors of hospitalization in older haemodialysis patients. Methods We reviewed hospitalizations of older (≥65 years) incident chronic haemodialysis patients initiating therapy between 1 January 2007 and 31 December 2009 under the care of a single Midwestern United States dialysis provider. Results Of 125 patients, the mean age was 76 ± 7 years and 72% were male. At first dialysis, 68% used a central venous catheter (CVC) and 51% were in the hospital. Mean follow-up was 1.8 ± 1.0 years. At least one hospitalization occurred in 89 (71%) patients and half of all patients were hospitalized once within the first 223 days. Total hospital admission rate was 1.48 per patient year with hospital days totalling 8.54 days per patient year. The three most common reasons for first admission were cardiac (33%), infection (18%) and gastrointestinal (12%). Predictors of future hospitalization included the first dialysis occurring in hospital (hazard ratios (HR) 2.1, 95% CI 1.4–3.3, P = 0.0005) and the use of a CVC at first haemodialysis (HR 2.6, CI 1.6–4.4, P
Databáze: OpenAIRE
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