Glycemic Control and Infections Among US Hemodialysis Patients With Diabetes Mellitus.

ABSTRACT:

Introduction

Patients with diabetes mellitus (DM) on hemodialysis (HD) may be particularly vulnerable to infections.

Methods

We used merged data from the United States Renal Data System and electronic health records data from a large US dialysis provider to retrospectively examine the association between glycemic control and infections in these patients. Adult patients with DM aged ≥18 years who initiated in-center maintenance HD treatment from 2006 to 2011 and survived >90 days were included. Quarterly mean time-averaged hemoglobin A1c (HbA1c) values were categorized into <5.5%, 5.5 to <6.5%, 6.5 to <7.5%, 7.5 to <8.5%, and ≥8.5%. We used Medicare claims to ascertain infection-related outcomes and the ESRD Death Notification to identify death from infectious cause. We used

SUBMITTER: Rhee JJ 

PROVIDER: S-EPMC7335954 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature