The Impact of Residual Renal Function on Hospitalization and Mortality in Incident Hemodialysis Patients
| Autor: | Michael Bergman, James F. Winchester, Zachary Z. Brener, Martin K. Kuhlmann, Nathan W. Levin, Peter Kotanko, Stephan Thijssen |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Renal function Kidney Kidney Function Tests Single Center Independent predictor Renal Dialysis Internal medicine Humans Medicine In patient Intensive care medicine Dialysis Aged Retrospective Studies Proportional hazards model business.industry Hematology General Medicine Middle Aged Survival Analysis Hospitalization Treatment Outcome Nephrology Cohort Kidney Failure Chronic Female Hemodialysis business |
| Zdroj: | Blood Purification. 31:243-251 |
| ISSN: | 1421-9735 0253-5068 |
| DOI: | 10.1159/000322252 |
| Popis: | Background/Aims: Few data are available on the impact of residual renal function (RRF) on mortality and hospitalization in hemodialysis (HD) patients. The objective of our study was to compare clinical outcomes for HD patients with and without RRF. Methods: In a cohort of 118 incident HD patients with RRF (n = 51) and without RRF (n = 67) who started dialysis in a single center, we recorded demographics, laboratory data, medication, hospitalizations and mortality. Results: Patients without RRF were older (p = 0.007), had lower baseline serum albumin levels (p = 0.002) and spent 18.6 more days in hospital per year than those with RRF (p = 0.055). Mean survival time was significantly lower in patients without RRF (p = 0.027). In a Cox proportional hazards model, only RRF remained as a significant independent predictor. Conclusions: RRF is associated with significantly reduced mortality and hospital days, but does not decrease the hospitalization rate and time to first hospitalization. |
| Databáze: | OpenAIRE |
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