Using USRDS generated hospitalization tables to compare local dialysis patient hospitalization rates to national rates.

Using USRDS generated hospitalization tables to compare local dialysis patient hospitalization rates to national rates.
复制标题

使用 USRDS 生成的住院表格将当地透析患者住院率与全国比率进行比较。

DOI:
10.1038/ki.1996.351
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发表时间:
1996
影响因子:
19.6
通讯作者:
Held,PJ
Held,PJ
中科院分区:
医学1区
文献类型:
--
作者:
Strawderman,RL;Levine,G;Hirth,RA;Port,FK;Held,PJ

文献摘要

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使用USRDS生成的住院表比较当地透析患者住院率与全国住院率。美国肾脏数据系统的住院表允许描述5岁年龄组中事件和流行透析患者的全国住院率。这些比率进一步按性别、种族和四种主要疾病类别分层。基于这些表格,从1991年至1993年期间超过250,000例事件和流行患者的数据中得出,描述了一种方法,该方法允许将事件和流行透析患者中的当地(例如,透析设施)或区域“首次入院”率与全国率进行比较。一个标准化的住院率,以促进这种比较,并评估统计学意义的方法进行了讨论。由于这种方法允许调整年龄,种族,性别和原发疾病,它可以作为透析研究的有用工具。它也可以单独或与标准化死亡率结合用于透析设施一级,以促进当地质量保证。
Using USRDS generated hospitalization tables to compare local dialysis patient hospitalization rates to national rates.Hospitalization tables of the U.S. Renal Data System allow description of national hospitalization rates among incident and prevalent dialysis patients in five-year age groups. These rates are further stratified by sex, race, and four primary disease categories. Based on these tables derived from the data on over 250,000 incident and prevalent patients during 1991 to 1993, a methodology is described that allows comparison of local (for example, dialysis facility) or regional “first admission” rates among incident and prevalent dialysis patients to the national rates. A standardized hospitalization ratio is introduced to facilitate such comparisons, and methods for assessing statistical significance are discussed. Since this methodology allows adjustment for age, race, sex, and primary disease, it can serve as useful tool for dialysis research. It can also be used at the dialysis facility level, alone or in conjunction with the standardized mortality ratio, to facilitate local quality assurance.