Correlates of vascular access and nonvascular access-related hospitalizations in hemodialysis patients.
Four hundred and thirty randomly selected hemodialysis patients, aged 20 years and over, were studied to identifiy risk factors for vascular access and nonvascular access-related hospitalizations in the immediately preceding 1 year.
Risk estimates for hospitalization were assessed using a multinominal logistic analysis model.
We measured functional status, utilizing a 14-point Karnofsky scale, and in a separate analysis of covariance, in which Karnofsky score was the outcome, we examined the relationships of age, gender, ethnicity, renal diagnosis, and hospitalization.
Individual comparisons were adjusted for multiple comparison bias by Tukey's Honest Difference method.
There were a total of 508 hospitalizations of which 322 (63%) lasted =1 week.
Two hundred and sixty (60%) patients were hospitalized at least once ; 105 (24.4%) for access problems only, 115 (27%) for a nonaccess problem only, and 40 for access and nonaccess-related problems.
Access-related problems, accounted for 48% of all hospitalizations.
The risk of hemodialysis vascular access morbidity was increased in women (p<0.028) and white (p<0.048) hemodialysis patients.
Neither diabetic nor elderly hemodialysis patients were at greater risk for access hospitalization than their respective counterparts, thought a greater proportion of the access hospitalizations in the elderly (=64 years) lasted =1 week (p<0.0006).
More access-related hospitalizations in blacks (64.5%), lasted for =1 week than ...
Mots-clés Pascal : Hémodialyse, Hospitalisation, Cathéter, Voie intraveineuse, Etats Unis, Amérique du Nord, Amérique, Facteur risque, Complication, Homme, Epuration extrarénale
Mots-clés Pascal anglais : Hemodialysis, Hospitalization, Catheter, Intravenous administration, United States, North America, America, Risk factor, Complication, Human, Extrarenal dialysis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0106292
Code Inist : 002B27B03. Création : 199608.