Relationship of missed and shortened hemodialysis treatments to hospitalization and mortality: observations from a US dialysis network
Relationship of missed and shortened hemodialysis treatments to hospitalization and mortality: observations from a US dialysis network
复制标题
DOI：
10.1093/ckj/sfs071
复制
发表时间：
2012-08-01
影响因子：
4.6
通讯作者：
Zager, Phillip G.
中科院分区：
文献类型：
--
作者：
Obialo, Chamberlain I.;Hunt, William C.;Zager, Phillip G.
背景在美国，血液透析（HD）患者中漏诊和缩短与临床结局的关系尚未得到很好的表征。在这里，我们探讨了错过和缩短治疗的频率及其对死亡率和住院率的影响。对在Dialysis Clinics，Inc.运营的机构接受治疗的15340例HD患者队列的数据进行回顾性审查。我们按性别、种族、年龄和治疗时间表[周一、周三、周五（MWF）与周二、周四、周六（TTS）]比较了错过和缩短治疗的频率。在15340例患者中，48%为非西班牙裔白人（NHW），41%为非洲裔美国人（AA），6%为西班牙裔，2%为美洲原住民（NA），2%为亚洲人，1%为其他种族。HD的中位年数为1.8年，中位随访时间为12.4个月。在以下人群中，一个月内错过至少一次治疗的几率更高：
Background. The relationship of missed and shortened hemodialysis (HD) to clinical outcomes has not been well characterized in HD patients in the USA. Here we explored the frequency of missed and shortened treatments and their impact on mortality and hospitalization.Methods. A retrospective review of data from a cohort of 15 340 HD patients treated in facilities operated by Dialysis Clinics, Inc. We compared the frequency of missed and shortened treatments by gender, race, age and treatment schedules [Mondays, Wednesdays, Fridays (MWF) versus Tuesdays, Thursdays, Saturdays (TTS)].Results. Of the 15 340 patients, 48% were non-Hispanic whites (NHWs), 41% African Americans (AAs), 6% Hispanics, 2% Native American (NA), 2% Asians and 1% other races. The median number of years on HD was 1.8 years and the median follow-up was 12.4 months. The odds of missing at least one treatment in a month were higher in: patients aged