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Hospitalization patterns in HD patients in the Kingdom of Saudi Arabia: A comprehensive cohort study
Ezzedine Abderrahim1,2, Ayman S Moussa1,3, Mahmoud Ahmed1
1DaVita Health Care, Riyadh, Saudi Arabia.
Insights
Hospitalizations in hemodialysis (HD) patients are common, with infections being the leading cause and resulting in longer stays. These hospitalizations are linked to increased mortality risk in HD patients.
Area of Science:
- Nephrology
- Public Health
- Clinical Medicine
Background:
- Hospitalization rates serve as a key indicator of morbidity in hemodialysis (HD) patients.
- Understanding hospitalization patterns is crucial for managing patient health and resource allocation.
Purpose of the Study:
- To evaluate hospitalization patterns in a large cohort of hemodialysis patients.
- To identify the primary causes and characteristics of hospitalizations in this population.
Main Methods:
- Retrospective analysis of DaVita-KSA HD patient data from October 2014 to December 2019.
- Inclusion of demographical, clinical, and hospitalization data; exclusion of admissions less than 24 hours.
- Calculation of overall and cause-specific hospitalization rates.
Main Results:
- 3982 patients analyzed; 2667 hospitalizations recorded in 34.1% of patients, with 45.6% experiencing repeat admissions.
- Infectious causes (26.6%) were more frequent than cardiovascular complications (15.6%).
- Median hospital stay was 11 days; annual hospitalization rate was 34.9%, with an average duration of 3.7 days per patient. Hospitalized patients faced a significantly higher mortality risk (p < 0.001).
Conclusions:
- Infectious complications are the primary driver of hospitalizations among hemodialysis patients.
- Infections also contribute to the longest hospital stays.
- Hospitalization in HD patients is associated with increased mortality.
Introduction:
The rate of hospitalization represents a morbidity indicator in HD patients. The study aimed to evaluate hospitalization patterns in a large HD cohort.
Methods:
All DaVita-KSA HD patients from October 2014 to December 2019 were included. Demographical and clinical characteristics and hospitalization data were recorded. Less than 24 h admission was excluded. Overall and cause-specific hospitalization rates were calculated.
Results:
During the follow-up period, 3982 patients with a mean age of 52.5 ± 16.8 years, 2667 hospitalizations were recorded in 34.1% of the patients and 45.6% had repeated admissions. Infectious causes accounted for 26.6% of all recorded causes vs. 15.6% for cardiovascular complications. The median hospital stay length was 11 days, while the overall annual hospitalization rate of 34.9% and the annual duration of 3.7 days per patient. Hospitalized patients had a higher risk of mortality (p < 0.001).
Conclusion:
Infectious complications were the leading cause of hospitalization and had the longest hospital stay.
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