A Regional Evaluation of Survival of Infants with End-Stage Renal Disease
| Autor: | Michael Prendergast, Sarah A. Twichell, Munish Gupta, Anne Hansen, Nancy Rodig, John M. Fiascone |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Patient Transfer Nephrology medicine.medical_specialty Pediatrics Time Factors medicine.medical_treatment 030232 urology & nephrology Comorbidity Disease urologic and male genital diseases Article End stage renal disease 03 medical and health sciences 0302 clinical medicine Catchment Area Health Renal Dialysis Risk Factors Intensive Care Units Neonatal 030225 pediatrics Internal medicine Infant Mortality medicine Humans Hospital Mortality Intensive care medicine Referral and Consultation Dialysis Retrospective Studies business.industry Infant Newborn Infant Kidney Transplantation Treatment Outcome Pediatrics Perinatology and Child Health Kidney Failure Chronic Female business Boston Developmental Biology |
| Zdroj: | Neonatology. 112:73-79 |
| ISSN: | 1661-7819 1661-7800 |
| Popis: | Background: Information regarding morbidity and mortality of infants born with end-stage renal disease (ESRD) requiring dialysis early in life is critical to optimize patient care and better counsel families. Objective: We evaluated outcomes of infants born regionally with ESRD, and those within our broader catchment area referred for dialysis. Study Design: We screened deaths at 5 regional referral hospitals, identifying infants with ESRD who did not survive to transfer for dialysis. We also screened all infants Results: We identified 14 infants from regional hospitals who died prior to transfer and 12 infants at our institution who were dialyzed. Because of the large burden of lethal comorbidities in our regional referral centers, overall survival was low, with 73% dying at birth hospitals. Amongst dialyzed infants, 42% survived to transplant. Conclusion: This study is unusual in reporting survival of infants with ESRD including those not referred for dialysis, which yields an expectedly lower survival rate than reported by dialysis registries. |
| Databáze: | OpenAIRE |
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