Association between regional economic status and renal recovery of dialysis-requiring acute kidney injury among critically ill patients
| Autor: | Yu Hsing Chang, Chun Te Huang, Chih-Chung Shiao, Mai Szu Wu, Ya-Fei Yang, Vin-Cent Wu, Te Chuan Chen, Yung-Ming Chen, Kwan-Dun Wu, Chiu-Ching Huang, Tzung Fang Chuang, Min Tsung Kao, Hung Hsiang Liou, Heng Chih Pan, Wei Chih Kan, Yung-Chang Chen, Ji Tseng Fang, Feng Chi Kuo, En Tzu Lin, Kuo Cheng Lu, Tzong-Shinn Chu, Chih Jen Wu, Chih-Hsiang Chang |
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| Rok vydání: | 2020 |
| Předmět: |
Male
0301 basic medicine medicine.medical_specialty Critical Illness Taiwan lcsh:Medicine Kidney Competing risks Article 03 medical and health sciences 0302 clinical medicine Renal Dialysis Internal medicine Economic Status Humans Medicine Hospital Mortality Prospective Studies lcsh:Science Socioeconomic status Aged Kidney diseases Multidisciplinary Adult patients Renal replacement therapy business.industry Critically ill lcsh:R Acute kidney injury Regression analysis Recovery of Function Acute Kidney Injury medicine.disease Confidence interval Intensive Care Units 030104 developmental biology Socioeconomic Factors Multicenter study Female lcsh:Q business 030217 neurology & neurosurgery |
| Zdroj: | Scientific Reports, Vol 10, Iss 1, Pp 1-10 (2020) Scientific Reports |
| ISSN: | 2045-2322 |
| Popis: | The association between regional economic status and the probability of renal recovery among patients with dialysis-requiring AKI (AKI-D) is unknown. The nationwide prospective multicenter study enrolled critically ill adult patients with AKI-D in four sampled months (October 2014, along with January, April, and July 2015) in Taiwan. The regional economic status was defined by annual disposable income per capita (ADIPC) of the cities the hospitals located. Among the 1,322 enrolled patients (67.1 ± 15.5 years, 36.2% female), 833 patients (63.1%) died, and 306 (23.1%) experienced renal recovery within 90 days following discharge. We categorized all patients into high (n = 992) and low economic status groups (n = 330) by the best cut-point of ADIPC determined by the generalized additive model plot. By using the Fine and Gray competing risk regression model with mortality as a competing risk factor, we found that the independent association between regional economic status and renal recovery persisted from model 1 (no adjustment), model 2 (adjustment to basic variables), to model 3 (adjustment to basic and clinical variables; subdistribution hazard ratio, 1.422; 95% confidence interval, 1.022–1.977; p = 0.037). In conclusion, high regional economic status was an independent factor for renal recovery among critically ill patients with AKI-D. |
| Databáze: | OpenAIRE |
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