Resource use and outcomes in patients with dialysis‐dependent chronic kidney disease admitted to intensive care
Autor: | Paul Secombe, Pei‐Ying Chiang, Basant Pawar |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Critical Care medicine.medical_treatment 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Renal Dialysis law Median follow-up Intensive care Health care Northern Territory Internal Medicine Humans Medicine 030212 general & internal medicine Renal Insufficiency Chronic Dialysis Aged Retrospective Studies business.industry Length of Stay Middle Aged medicine.disease Intensive care unit Intensive Care Units Outcome and Process Assessment Health Care Emergency medicine Resource use Female Observational study business Kidney disease |
Zdroj: | Internal Medicine Journal. 49:1252-1261 |
ISSN: | 1445-5994 1444-0903 |
Popis: | BACKGROUND Central Australia (CA) has a high prevalence of haemodialysis-dependent chronic kidney disease (CKD5D). CKD5D is associated with an increased need for critical care services. AIMS To describe the demographic features, critical care resource use and outcomes of patients with CKD5D requiring intensive care admission in CA. METHODS Retrospective matched cohort database study. Patients with CKD5D who required admission for critical illness between 1 July 2015 and 30 June 2016 were identified using the Centre for Outcome and Resource Evaluation Outcome Measurement and Evaluation Tool (CORE COMET) and matched with patients without CKD5D. The primary outcome was all cause mortality. Secondary outcomes explored use of critical care and other ongoing healthcare use. RESULTS There were 621 critical care admissions during the study period. Of these, CKD5D patients comprised 88 admissions (14%), representing 63 patients. Compared to matched controls, these patients had a similar mortality at a median follow up of 463 days (17% vs 22%, P = 0.50) which did not change when patients with an intensive care unit length of stay (ICU LoS) less than 4 days were excluded. CKD5D patients had a shorter median ICU LoS (1.3 vs 2.9). Although those with CKD5D had higher healthcare resource use, the rate of utilisation remained unchanged by their ICU admission. CONCLUSIONS This retrospective observational matched cohort study examining the burden of disease amongst CKD5D patients in CA suggests that there is no additional mortality burden in this group, nor do they require significantly higher critical care resources compared to a matched cohort. |
Databáze: | OpenAIRE |
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