Preexisting comorbidities are associated with the mortality rate as well as the predialysis adverse events in incident dialysis patients.

ABSTRACT:

Background

Optimal estimated glomerular filtration rate (eGFR) to start maintenance dialysis is controversial. Observational studies have reported that initiation of dialysis at high eGFRs is associated with worse postdialysis survival.

Methods

We retrospectively investigated 1,038 incident dialysis patients who started maintenance dialysis during 2010-2015. Patients were assessed for comorbidities and adverse events during the transitional period of dialysis initiation. Patients were classified as planned dialysis (PD) vs. unplanned dialysis (UD) according to indications for dialysis initiation.

Results

UD group comprised 352 patients (33.9%). Mean eGFR at dialysis initiation was higher in UD patients than PD patients (7.9 ± 5.1 vs. 5.9 ± 3.4 mL/min/1.73 m2, p < 0.00

SUBMITTER: Lee MJ 

PROVIDER: S-EPMC8476300 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature