Outcomes of In-Hospital Cardiopulmonary Resuscitation in Maintenance Dialysis Patients

Outcomes of In-Hospital Cardiopulmonary Resuscitation in Maintenance Dialysis Patients
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DOI:
10.1681/asn.2014080766
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发表时间:
2015-12-01
影响因子:
13.6
通讯作者:
Holley, Jean L.
Holley, Jean L.
中科院分区:
医学1区
文献类型:
--
作者:
Saeed, Fahad;Adil, Malik M.;Holley, Jean L.

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需要维持透析的ESRD住院患者的心肺复苏(CPR)结局尚不清楚。使用全国住院患者样本(NIS; 2005-2011)的数据,将这些患者的院内CPR结局与普通人群的结局进行比较。研究人群包括一般人群中的所有成年人(≥ 18岁)和有ESRD病史的人。比较两组的基线特征、住院并发症和出院结果。分析院内心肺复苏对死亡率、住院时间、住院费用和出院目的地的影响。还使用Cochran Armitage趋势检验检查了生存率、出院回家和住院时间的年度全国趋势。在研究期间,56,069名ESRD患者接受了院内CPR,而普通人群中有323,620名患者。ESRD患者未校正的住院死亡率较高(73.9%对71.8%,P
Outcomes of cardiopulmonary resuscitation (CPR) in hospitalized patients with ESRD requiring maintenance dialysis are unknown. Outcomes of in-hospital CPR in these patients were compared with outcomes in the general population using data from the Nationwide Inpatient Sample (NIS; 2005-2011). The study population included all adults (>= 18years old) from the general population and those with a history of ESRD. Baseline characteristics, in-hospital complications, and discharge outcomes were compared between the two groups. The effects of in-hospital CPR on mortality, length of stay, hospitalization charges, and discharge destination were analyzed. Yearly national trends in survival, discharge to home, and length of stay were also examined using the Cochran Armitage trend test. During the study period, 56,069 patients with ESRD underwent in-hospital CPR compared with 323,620 patients from the general population. Unadjusted in-hospital mortality rates were higher in patients with ESRD (73.9% versus 71.8%, P