Homelessness and CKD: A Cohort Study
Homelessness and CKD: A Cohort Study
复制标题
DOI：
10.2215/cjn.00060112
复制
发表时间：
2012-07-01
影响因子：
9.8
通讯作者：
Bindman, Andrew B.
中科院分区：
文献类型：
--
作者：
Hall, Yoshio N.;Choi, Andy I.;Bindman, Andrew B.
背景和目的本研究探讨了无家可归和慢性肾脏病的临床结果之间的关联，成人从城市医疗safety net.Design，设置，参与者，和measurements这一回顾性队列研究，研究了15,343名成人慢性肾脏病3-5期谁收到门诊护理在1996-2005年从社区卫生网络的旧金山弗朗西斯科。主要结果的措施是时间终末期肾病或死亡和急诊科就诊和hospitalizations.Results总体频率，858人（6%）与CKD阶段3-5无家可归。与有稳定住房的成年人相比，无家可归的成年人更年轻，不成比例地为男性，没有保险，患抑郁症和药物滥用的比例要高得多（P
Background and objectives This study examined the associations between homelessness and clinical outcomes of CKD among adults from the urban healthcare safety net.Design, setting, participants, & measurements This retrospective cohort study examined 15,343 adults with CKD stages 3-5 who received ambulatory care during 1996-2005 from the Community Health Network of San Francisco. Main outcome measures were time to ESRD or death and frequency of emergency department visits and hospitalizations.Results Overall, 858 persons (6%) with CKD stages 3-5 were homeless. Homeless adults were younger, were disproportionately male and uninsured, and suffered from far higher rates of depression and substance abuse compared with adults with stable housing (P