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Hospitalizations before and after initiation of chronic hemodialysis

Hussein Kassam1, Yijuan Sun, Muniru Adeniyi

  • 1Department of Surgery, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.

Hemodialysis International. International Symposium on Home Hemodialysis
|May 14, 2011
PubMed

Insights

Hospitalization rates and lengths significantly increased after patients started chronic hemodialysis (HD). This highlights the need to study HD-specific factors to reduce patient morbidity.

Area of Science:

  • Nephrology
  • Internal Medicine
  • Public Health

Background:

  • Patients on chronic hemodialysis (HD) experience high hospitalization rates.
  • Understanding how initiating HD impacts hospitalization is crucial for patient care.

Purpose of the Study:

  • To investigate the changes in hospitalization rate and length following the initiation of chronic hemodialysis.
  • To compare hospitalization patterns in the pre-HD period versus the HD period.

Main Methods:

  • A 15-year retrospective analysis of hospitalizations in 392 patients undergoing HD at a single hospital.
  • Comparison of annual hospitalization rates (admissions/patient-year) and lengths (days/patient-year) between the pre-HD and HD periods.

Main Results:

  • Hospitalization rates increased from 0.557 (pre-HD) to 2.198 (HD) admissions/patient-year (P<0.001).
  • Hospitalization lengths increased from 4.63 (pre-HD) to 28.07 (HD) days/patient-year (P<0.001).
  • Increases were observed across various conditions, including cardiac disease, infections, and HD-specific issues, with diabetics showing higher rates.

Conclusions:

  • Initiation of chronic hemodialysis is associated with a significant rise in both the rate and length of hospitalizations.
  • Further research into HD-specific factors is necessary to mitigate increased patient morbidity.

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