Renal replacement therapy in acute kidney injury from a Chinese cross-sectional study: patient, clinical, socioeconomic and health service predictors of treatment

Autor: Fang Wang, Daqing Hong, Yafang Wang, Yunlin Feng, Li Wang, Li Yang, ISN AKF 0 by 25 China Consortium
Rok vydání: 2017
Předmět:
Male
Nephrology
China
medicine.medical_specialty
Cross-sectional study
medicine.medical_treatment
Peritoneal dialysis
030232 urology & nephrology
lcsh:RC870-923
urologic and male genital diseases
Risk Assessment
Developing countries
03 medical and health sciences
Age Distribution
0302 clinical medicine
Internal medicine
Outcome Assessment
Health Care
Prevalence
medicine
Humans
030212 general & internal medicine
Renal replacement therapy
Practice Patterns
Physicians'
Sex Distribution
Survival rate
business.industry
Mortality rate
Acute kidney injury
Reproducibility of Results
Health Services
Middle Aged
Prognosis
lcsh:Diseases of the genitourinary system. Urology
medicine.disease
female genital diseases and pregnancy complications
Survival Rate
Cross-Sectional Studies
Socioeconomic Factors
Hemodialysis
Utilization Review
Female
business
Research Article
Zdroj: BMC Nephrology, Vol 18, Iss 1, Pp 1-9 (2017)
BMC Nephrology
ISSN: 1471-2369
Popis: Background Renal replacement therapy (RRT) is important to support critically ill patients with acute kidney injury (AKI). This study, a part of a nation-wide survey for AKI conducted by the ISN AKF 0 by 25 China Consortium, aims to study the current RRT practical situation and problems in China. Methods The current study is a part of a nation-wide survey for AKI conducted by ISN AKF 0 by 25 China Consortium. The survey included 44 sites all over the country, including 22 academic hospitals in big cities and 22 local hospitals in smaller cities or rural areas. Of the 44 sites, all have access to PD and IHD, 93.5% are capable to perform CRRT. Of total 7604 AKI cases, 896 cases (11.8%) had indications for RRT and were included in the current abstract. Results of the 896 patients that had indications for RRT, only 59.3% received RRT. Patients who were older, male, from lower income areas, in local hospitals, or with severe comorbidities, were less likely to receive RRT. RRT treatment was associated with lower mortality (OR = 0.58, 95%CI 0.38–0.89). The RRT modalities were continuous renal replacement therapy (CRRT) in 53.9%, intermittent hemodialysis (IHD) in 38.0%, CRRT complemented by IHD in 6.2%, CRRT complemented by peritoneal dialysis (PD) in 0.8% and PD in 1.1%. Of the subgroup of patients receiving RRT who did not have an indication for modality of CRRT, 36.8% in fact received CRRT, and their medical cost and mortality rate was higher (7944[4248, 16,055] vs. 5100[2948, 9396] US dollars, p
Databáze: OpenAIRE
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