We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Transitions of dialysis status and outcomes after the unplanned first dialysis: a nationwide population-based cohort study.
- Authors
Liao, Chia-Te; Lai, Jia-Hong; Chen, Yu-Wei; Hsu, Yung-Ho; Wu, Mei-Yi; Zheng, Cai-Mei; Hsu, Chih-Cheng; Wu, Mai-Szu; Chuang, Shao-Yuan
- Abstract
In Taiwan, most first-time dialysis was started without the creation of an arteriovenous shunt. Here, we aimed to elucidate the transitions of dialysis status in the unplanned first dialysis patients and determine factors associated with their outcomes. A total of 50,315 unplanned first dialysis patients aged more than 18 years were identified from the National Health Insurance Dataset in Taiwan between 2001 and 2012. All patients were followed for 5 years for the transitions in dialysis status, including robust (dialysis-free), sporadic dialysis, continued dialysis, and death. Furthermore, factors associated with the development of continued dialysis and death were examined by the Cox proportional hazard models. After 5 years after the first dialysis occurrence, there were 5.39% with robust status, 1.67% with sporadic dialysis, 8.45% with continued dialysis, and 84.48% with death. Notably, we have identified common risk factors for developing maintenance dialysis and deaths, including male gender, older age, diabetes, coronary heart disease, stroke, heart failure, sepsis, and surgery. There was an extremely high mortality rate among the first unplanned dialysis patients in Taiwan. Less than 10% of these patients underwent continued dialysis during the 5-year follow-up period. This study highlighted the urgent need for interventions to improve patient outcomes.
- Subjects
TAIWAN; DIALYSIS (Chemistry); PROPORTIONAL hazards models; HEMODIALYSIS; NATIONAL health insurance; CORONARY disease; SEPSIS
- Publication
Scientific Reports, 2023, Vol 13, Issue 1, p1
- ISSN
2045-2322
- Publication type
Article
- DOI
10.1038/s41598-023-39913-w