Hemodialysis vascular access morbidity in the United States.
Extensive morbidity related to hemodialysis vascular access exists among endstage renal disease (ESRD) patients, but the risk factors for this morbidity have not been extensively studied.
Medicare ESRD patient data were obtained from 1984, 1985, and 1986.
Hospitalization for vascular access morbidity (ICD-996.1, 996.6, or 996.7) was analyzed among prevalent patients and, using survival analysis, among incident patients to assess sex, age, race, and underlying cause of renal failure as risk factors.
We found that 15 to 16% of hospital stays among prevalent ESRD patients were associated with vascular access-related morbidity.
Black race, older age, female sex, and diabetes mellitus as a cause of kidney failure were all independent risk factors for access-related morbidity.
Mots-clés Pascal : Insuffisance rénale, Chronique, Rein pathologie, Appareil urinaire pathologie, Réanimation, Complication, Epidémiologie, Homme, Epuration extrarénale, Hémodialyse, Etats Unis, Amérique du Nord, Amérique, Morbidité
Mots-clés Pascal anglais : Renal failure, Chronic, Renal disease, Urinary system disease, Resuscitation, Complication, Epidemiology, Human, Extrarenal dialysis, Hemodialysis, United States, North America, America, Morbidity
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0030919
Code Inist : 002B27B03. Création : 199406.