Impact on survival of urgent dialysis initiation in patients with end-stage renal disease: a case–control study

Takagi, Kimiaki; Mizuno, Masashi; Kawase, Kota; Minoshima, Kenichi; Yamaha, Masayoshi; Horie, Masanobu

doi:10.1007/s10157-020-01931-7

Cited by 4 publications

(6 citation statements)

References 29 publications

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“…Emergent hemodialysis initiation and hemodialysis through central venous catheters are not only associated with poor prognosis but also expensive hospitalization, thus every effort should be made to avoid this procedure. [11][12][13][14] In our study, 41% and 44% of the early and late elderly groups, respectively, underwent emergent hemodialysis initiation. It is important that physicians that treat late elderly patients with end-stage renal disease are fully aware of the fact this group of patients are at high risk of emergent and unplanned hemodialysis initiation from fluid overload, especially in winter.…”

Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 67%

“…10 Emergent initiation of hemodialysis is an independent risk factor for morbidity and mortality among patients with end-stage kidney disease. 11 In addition, increased morbidity, mortality, and financial costs are associated with hemodialysis using a central venous catheter. [12][13][14] Thus, every effort should be made to avoid emergency and unplanned hemodialysis initiation.…”

Section: Introductionmentioning

confidence: 99%

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Seasonal variation in emergent hemodialysis initiation in the late elderly: A single‐center study

Takayama

Sakurada

Shibagaki

et al. 2021

Hemodialysis International

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Background: The number of new dialysis patients, particularly among the elderly population, has been globally increasing. In Japan, patients aged ≥65 years and ≥75 years comprised 72% and 45% of patients on dialysis in 2018, respectively. Few studies have reported seasonal variations in the initiation of dialysis. We investigated the seasonal prevalence of the emergent hemodialysis initiation in the elderly.Methods: We reviewed 479 elderly patients who initiated hemodialysis between January 2006 and December 2018. Early elderly patients were defined as patients aged between 65 and 74 years, and late elderly patients were defined as those aged ≥75 years. Emergent hemodialysis initiation was defined as initiation with a temporary vascular catheter without elective permanent vascular access or unplanned hemodialysis initiation due to patients requiring critical care regardless of elective permanent vascular access. The information collected included age, sex, and details of the initiation of hemodialysis. Results: The early elderly group consisted of 199 patients, and the late elderly group consisted of 279 patients. In the late elderly group, hemodialysis initiation was most frequent in winter, followed by spring, autumn, and summer (p = 0.018). Moreover, emergent hemodialysis initiation was most frequent in winter, followed by spring, autumn, and summer (p = 0.009). Emergent hemodialysis initiation due to fluid overload was most frequent in winter, followed by autumn, spring, and summer (p < 0.001). Among late elderly patients who initiated hemodialysis, 78% did not have permanent hemodialysis access at the time of the initiation of hemodialysis. Conclusion: In the late elderly group, hemodialysis initiation and emergent hemodialysis initiation were significantly more frequent in the winter than in the remaining seasons. In addition, emergent hemodialysis initiation due to fluid overload was most frequent in winter in the late elderly group.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

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Seasonal variation in emergent hemodialysis initiation in the late elderly: A single‐center study

Takayama

Sakurada

Shibagaki

et al. 2021

Hemodialysis International

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“…As we previously reported 17 , emergent initiation of dialysis is related to increased mortality 18 – 20 . Patients who undergo urgent initiation of dialysis often require rapid care and the poor general condition at that time of dialysis worsens the survival rate.…”

Section: Discussionmentioning

confidence: 63%

“…In addition, the relationship between specialized management of patients with ESRD, emergent initiation of dialysis, and survival rate were confirmed. As we previously reported 17 , emergent initiation of dialysis is related to increased mortality [18][19][20] . Patients who undergo urgent initiation of dialysis often require rapid care and the poor general condition at that time of dialysis worsens the survival rate.…”

Section: Discussionmentioning

confidence: 67%

Outpatient clinic specific for end-stage renal disease improves patient survival rate after initiating dialysis

Fukuzaki

Nakata

Nojiri

et al. 2023

Sci Rep

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The importance of a shared decision-making (SDM) approach is widely recognized worldwide. In Japan, hospital accreditation involves the promotion of SDM for patients with end-stage renal disease (ESRD) when considering renal replacement therapy (RRT). This study aimed to clarify the effectiveness and long-term medical benefits of SDM in RRT. Patients with ESRD who underwent dialysis therapy were retrospectively divided into those who visited outpatient clinics specific for ESRD (ESRD clinic) supporting RRT selection with an SDM approach (visited group) and those who did not visit the ESRD clinic (non-visited group). Data of 250 patients (129 in the non-visited group and 121 in the visited group) were analyzed. Mortality was significantly higher in the non-visited group than in the visited group. Not seeing an ESRD specialist was associated with emergent initiation of dialysis and subsequent 1 year mortality. The number of patients who chose peritoneal dialysis as a modality of RRT was significantly larger in the visited group. These findings demonstrate the association between the ESRD clinic, 1 year survival in patients with ESRD after initiating dialysis, and the different RRT modalities. This specific approach in the ESRD clinic may improve the management of patients with ESRD.

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Impact of polypharmacy on all-cause mortality and hospitalization in incident hemodialysis patients: a cohort study

Toida

Toida²,

Takahashi

et al. 2021

Clin Exp Nephrol

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Impact on survival of urgent dialysis initiation in patients with end-stage renal disease: a case–control study

Cited by 4 publications

References 29 publications

Seasonal variation in emergent hemodialysis initiation in the late elderly: A single‐center study

Seasonal variation in emergent hemodialysis initiation in the late elderly: A single‐center study

Outpatient clinic specific for end-stage renal disease improves patient survival rate after initiating dialysis

Impact of polypharmacy on all-cause mortality and hospitalization in incident hemodialysis patients: a cohort study

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