Hospitalization in daily home hemodialysis and matched thrice-weekly in-center hemodialysis patients.-临床诊疗知识库

Hospitalization in daily home hemodialysis and matched thrice-weekly in-center hemodialysis patients.

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作者：

Eric D, Weinhandl；Kimberly M, Nieman；David T, Gilbertson；Allan J, Collins

来源：

American journal of kidney diseases : the official journal of the National Kidney Foundation 2015 年 65卷 1期

标签：

Hemodialysis cardiovascular disease daily HHD end-stage renal disease (ESRD) home hemodialysis (HHD) hospital admission hospitalization infection

Cardiovascular disease is a common cause of hospitalization in dialysis patients. Daily hemodialysis improves some parameters of cardiovascular function, but whether it associates with lower hospitalization risk is unclear.Observational cohort study using US Renal Data System data.Medicare-enrolled daily (5 or 6 sessions weekly) home hemodialysis (HHD) patients initiating NxStage System One use from January 1, 2006, through December 31, 2009, and contemporary thrice-weekly in-center hemodialysis patients, matched 5 to 1.Daily HHD or thrice-weekly in-center hemodialysis.All-cause and cause-specific hospital admissions, hospital readmissions, and hospital days assessed from Medicare Part A claims.For 3,480 daily HHD and 17,400 thrice-weekly in-center hemodialysis patients in intention-to-treat analysis, the HR of all-cause admission for daily HHD versus in-center hemodialysis was 1.01 (95

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