Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

Comparative analysis of hospitalizations among patients treated with hemodialysis and peritoneal dialysis in European pediatric nephrology centers: results from a prospective EPDWG/ESPN Dialysis Working Group study

SA. Bakkaloğlu, Y. Özdemir Atikel, CP. Schmitt, E. Lévai, S. Adalat, N. Goodman, İ. Dursun, AS. Pınarbaşı, B. Yazıcıoğlu, F. Paglialonga, K. Vondrak, I. Guzzo, N. Printza, A. Zurowska, I. Zagożdżon, A. Karabay Bayazıt, B. Atmış, M. Tkaczyk, MDS....

. 2024 ; 17 (1) : sfad291. [pub] 20231228

Status neindexováno Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc24006109

BACKGROUND AND HYPOTHESIS: Hospital admissions in pediatric dialysis patients need to be better studied, and most existing studies are retrospective and based on registry data. This study aimed to analyse and compare hospital admission rates, causes, length of stay (LOS), and outcomes in children treated with peritoneal dialysis (PD) and hemodialysis (HD). METHODS: Data from 236 maintenance PD and 138 HD patients across 16 European dialysis centers were collected between 1 July 2017 and 30 June 2018. A total of 178 hospitalized patients (103 PD, 75 HD) were included for further analyses. RESULTS: There were 465 hospitalization events (268 PD, 197 HD) with a rate of 0.39 admissions per 100 patient-days at risk (PDAR) and 2.4 hospital days per 100 PDAR. The admission rates were not significantly different between HD and PD patients. The most common causes of hospitalization were access-related infections (ARI) (17%), non-infectious complications of access (NIAC) (14%), and infections unrelated to access (12%). ARI was the leading cause in PD patients (24%), while NIAC was more common in HD patients (19%). PD patients had more ARIs, diagnostic procedures, and treatment adjustments (P < .05), while HD patients had more NIACs, infections unrelated to access, access placement procedures, and interventional/surgical procedures (P < .001). LOS was longer with acute admissions than non-acute admissions (P < .001). Overall LOS and LOS in the intensive care unit were similar between HD and PD patients. High serum uric acid and low albumin levels were significant predictors of longer LOS (P = .022 and P = .045, respectively). Young age, more significant height deficit, and older age at the start of dialysis were predictors of longer cumulative hospital days (P = .002, P = .001, and P = .031, respectively). CONCLUSION: Access-related complications are the main drivers of hospitalization in pediatric dialysis patients, and growth and nutrition parameters are significant predictors of more extended hospital stays.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc24006109
003      
CZ-PrNML
005      
20240412130928.0
007      
ta
008      
240405s2024 enk f 000 0|eng||
009      
AR
024    7_
$a 10.1093/ckj/sfad291 $2 doi
035    __
$a (PubMed)38223336
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a enk
100    1_
$a Bakkaloğlu, Sevcan A $u Department of Pediatric Nephrology, Gazi University Faculty of Medicine, Ankara, Turkey $1 https://orcid.org/0000000165309672
245    10
$a Comparative analysis of hospitalizations among patients treated with hemodialysis and peritoneal dialysis in European pediatric nephrology centers: results from a prospective EPDWG/ESPN Dialysis Working Group study / $c SA. Bakkaloğlu, Y. Özdemir Atikel, CP. Schmitt, E. Lévai, S. Adalat, N. Goodman, İ. Dursun, AS. Pınarbaşı, B. Yazıcıoğlu, F. Paglialonga, K. Vondrak, I. Guzzo, N. Printza, A. Zurowska, I. Zagożdżon, A. Karabay Bayazıt, B. Atmış, M. Tkaczyk, MDS. Faria, A. Zaloszyc, A. Jankauskienė, M. Ekim, A. Edefonti, R. Shroff
520    9_
$a BACKGROUND AND HYPOTHESIS: Hospital admissions in pediatric dialysis patients need to be better studied, and most existing studies are retrospective and based on registry data. This study aimed to analyse and compare hospital admission rates, causes, length of stay (LOS), and outcomes in children treated with peritoneal dialysis (PD) and hemodialysis (HD). METHODS: Data from 236 maintenance PD and 138 HD patients across 16 European dialysis centers were collected between 1 July 2017 and 30 June 2018. A total of 178 hospitalized patients (103 PD, 75 HD) were included for further analyses. RESULTS: There were 465 hospitalization events (268 PD, 197 HD) with a rate of 0.39 admissions per 100 patient-days at risk (PDAR) and 2.4 hospital days per 100 PDAR. The admission rates were not significantly different between HD and PD patients. The most common causes of hospitalization were access-related infections (ARI) (17%), non-infectious complications of access (NIAC) (14%), and infections unrelated to access (12%). ARI was the leading cause in PD patients (24%), while NIAC was more common in HD patients (19%). PD patients had more ARIs, diagnostic procedures, and treatment adjustments (P < .05), while HD patients had more NIACs, infections unrelated to access, access placement procedures, and interventional/surgical procedures (P < .001). LOS was longer with acute admissions than non-acute admissions (P < .001). Overall LOS and LOS in the intensive care unit were similar between HD and PD patients. High serum uric acid and low albumin levels were significant predictors of longer LOS (P = .022 and P = .045, respectively). Young age, more significant height deficit, and older age at the start of dialysis were predictors of longer cumulative hospital days (P = .002, P = .001, and P = .031, respectively). CONCLUSION: Access-related complications are the main drivers of hospitalization in pediatric dialysis patients, and growth and nutrition parameters are significant predictors of more extended hospital stays.
590    __
$a NEINDEXOVÁNO
655    _2
$a časopisecké články $7 D016428
700    1_
$a Özdemir Atikel, Yeşim $u Department of Pediatric Nephrology, Gazi University Faculty of Medicine, Ankara, Turkey $u Department of Pediatric Nephrology, Eskişehir City Hospital, Eskişehir, Turkey $1 https://orcid.org/0000000153043125
700    1_
$a Schmitt, Claus Peter $u Department of Pediatric Nephrology, Center for Pediatric and Adolescent Medicine, Heidelberg, Germany
700    1_
$a Lévai, Eszter $u Department of Pediatric Nephrology, Center for Pediatric and Adolescent Medicine, Heidelberg, Germany
700    1_
$a Adalat, Shazia $u Department of Pediatric Nephrology, Evelina London Children's Hospital, London, United Kingdom
700    1_
$a Goodman, Nadine $u Department of Pediatric Nephrology, Great Ormond Street Hospital for Children, London, United Kingdom
700    1_
$a Dursun, İsmail $u Department of Pediatric Nephrology, Erciyes University Faculty of Medicine, Kayseri, Turkey
700    1_
$a Pınarbaşı, Ayşe Seda $u Department of Pediatric Nephrology, Erciyes University Faculty of Medicine, Kayseri, Turkey
700    1_
$a Yazıcıoğlu, Burcu $u Department of Pediatric Nephrology, Gazi University Faculty of Medicine, Ankara, Turkey $1 https://orcid.org/0000000225724190
700    1_
$a Paglialonga, Fabio $u Department of Pediatric Nephrology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
700    1_
$a Vondrak, Karel $u Department of Pediatric Nephrology, University Hospital Motol, Prague, Czech Republic
700    1_
$a Guzzo, Isabella $u UO di Nefrologia e Dialisi, Ospedale Pediatrico Bambino Gesu-IRCCS, Rome, Italy $1 https://orcid.org/0000000349603083
700    1_
$a Printza, Nikoleta $u Department of Pediatric Nephrology, Medical School of Aristotle University, Thessaloniki, Greece
700    1_
$a Zurowska, Aleksandra $u Department of Pediatrics Nephrology & Hypertension, Medical University of Gdansk, Gdansk, Poland
700    1_
$a Zagożdżon, Ilona $u Department of Pediatrics Nephrology & Hypertension, Medical University of Gdansk, Gdansk, Poland
700    1_
$a Karabay Bayazıt, Aysun $u Department of Pediatric Nephrology, Çukurova University Faculty of Medicine, Adana, Turkey
700    1_
$a Atmış, Bahriye $u Department of Pediatric Nephrology, Çukurova University Faculty of Medicine, Adana, Turkey
700    1_
$a Tkaczyk, Marcin $u Department of Pediatric Nephrology, Instytut Centrum Zdrowia, Matki, Poland
700    1_
$a Faria, Maria do Sameiro $u Department of Pediatric Nephrology, Centro Materno-Infantil do Norte, CHP, Porto, Portugal
700    1_
$a Zaloszyc, Ariane $u Department of Pediatric Nephrology, Country Hautepierre CHU, Strasbourg, France
700    1_
$a Jankauskienė, Augustina $u Institute of Clinical Medicine, Vilnius University, Pediatric Center, Vilnius, Lithuania
700    1_
$a Ekim, Mesiha $u Department of Pediatric Nephrology, Ankara University Faculty of Medicine, Ankara, Turkey
700    1_
$a Edefonti, Alberto $u Department of Pediatric Nephrology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
700    1_
$a Shroff, Rukshana $u Department of Pediatric Nephrology, Great Ormond Street Hospital for Children, London, United Kingdom $1 https://orcid.org/0000000185011072
773    0_
$w MED00178639 $t Clinical kidney journal $x 2048-8505 $g Roč. 17, č. 1 (2024), s. sfad291
856    41
$u https://pubmed.ncbi.nlm.nih.gov/38223336 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20240405 $b ABA008
991    __
$a 20240412130920 $b ABA008
999    __
$a ok $b bmc $g 2076130 $s 1215871
BAS    __
$a 3
BAS    __
$a PreBMC-PubMed-not-MEDLINE
BMC    __
$a 2024 $b 17 $c 1 $d sfad291 $e 20231228 $i 2048-8505 $m Clinical kidney journal $n CKJ $x MED00178639
LZP    __
$a Pubmed-20240405
Zpět

Najít záznam

Citační ukazatele

Možnosti archivace