THE PREDICTORS OF HOSPITALIZATION IN HEMODIALYSIS PATIENTS
Summary. The aim of the present research was to identify predictors of hospitalization hemodialysis (HD) patients. Materials and methods. The study involved 186 HD patients (49,38±0,94 у.) between Jan 2013 and Jan 2014. We studied the evolution of laboratory and treatment parameters, including d...
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| Format: | Article |
| Language: | English |
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State Institution «Institute of Nephrology NAMS of Ukraine"
2014-04-01
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| Series: | Український Журнал Нефрології та Діалізу |
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| Online Access: | https://ukrjnd.com.ua/index.php/journal/article/view/32 |
| _version_ | 1797261386039951360 |
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| author | I. Dudar Y. Gonchar V. Savchuk |
| author_facet | I. Dudar Y. Gonchar V. Savchuk |
| author_sort | I. Dudar |
| collection | DOAJ |
| description |
Summary. The aim of the present research was to identify predictors of hospitalization hemodialysis (HD) patients.
Materials and methods. The study involved 186 HD patients (49,38±0,94 у.) between Jan 2013 and Jan 2014. We studied the evolution of laboratory and treatment parameters, including dry body-weight, ultrafiltration, mean blood pressure, plasma albumin, Hb, absolute lymphocyte count, absolute neutrophil count, neutrophil-to-lymphocyte ratio, “hemoglobin variability ” all patients. The HD patients were divided for 2 groups: I group of outpatients (n=103), II group of hospitalized patients (n=83). Data from 83 hospitalized patients were compared with non-hospitalized patients. Laboratory and treatment parameters were assessed at least 3 months prior to admission.
Results. We found that hospitalization was 45,29±4,20 days, frequency of hospitalization 1,46±0,07. The likelihood of frequency and duration a hospitalization increased with patient age (p<0,05). Hospitalizations were preceded by a decrease level albumin, a decline in Hb concentration, a decrease absolute lymphocyte count, increase in the neutrophil-to-lymphocyte ratio, a reduction ultrafiltration.
The hozpitalization of patients with “stable hemoglobin ” was significantly lower than in patients with “low of hemoglobin variability”(p<0,005).
Conclusions. Patients whose noted these parameters should be monitored, thus, it may be useful to identify risk factors for hospitalization.
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| first_indexed | 2024-04-24T23:40:23Z |
| format | Article |
| id | doaj.art-ab01b1a8a72b4a5faa0e70733b81f231 |
| institution | Directory Open Access Journal |
| issn | 2304-0238 2616-7352 |
| language | English |
| last_indexed | 2024-04-24T23:40:23Z |
| publishDate | 2014-04-01 |
| publisher | State Institution «Institute of Nephrology NAMS of Ukraine" |
| record_format | Article |
| series | Український Журнал Нефрології та Діалізу |
| spelling | doaj.art-ab01b1a8a72b4a5faa0e70733b81f2312024-03-15T12:23:35ZengState Institution «Institute of Nephrology NAMS of Ukraine"Український Журнал Нефрології та Діалізу2304-02382616-73522014-04-012(42)10.31450/ukrjnd.2(42).2014.0732THE PREDICTORS OF HOSPITALIZATION IN HEMODIALYSIS PATIENTSI. Dudar0Y. Gonchar1V. Savchuk2SI «Institute of Nephrology NAMS of Ukraine»SI «Institute of Nephrology NAMS of Ukraine»SI «Institute of Nephrology NAMS of Ukraine» Summary. The aim of the present research was to identify predictors of hospitalization hemodialysis (HD) patients. Materials and methods. The study involved 186 HD patients (49,38±0,94 у.) between Jan 2013 and Jan 2014. We studied the evolution of laboratory and treatment parameters, including dry body-weight, ultrafiltration, mean blood pressure, plasma albumin, Hb, absolute lymphocyte count, absolute neutrophil count, neutrophil-to-lymphocyte ratio, “hemoglobin variability ” all patients. The HD patients were divided for 2 groups: I group of outpatients (n=103), II group of hospitalized patients (n=83). Data from 83 hospitalized patients were compared with non-hospitalized patients. Laboratory and treatment parameters were assessed at least 3 months prior to admission. Results. We found that hospitalization was 45,29±4,20 days, frequency of hospitalization 1,46±0,07. The likelihood of frequency and duration a hospitalization increased with patient age (p<0,05). Hospitalizations were preceded by a decrease level albumin, a decline in Hb concentration, a decrease absolute lymphocyte count, increase in the neutrophil-to-lymphocyte ratio, a reduction ultrafiltration. The hozpitalization of patients with “stable hemoglobin ” was significantly lower than in patients with “low of hemoglobin variability”(p<0,005). Conclusions. Patients whose noted these parameters should be monitored, thus, it may be useful to identify risk factors for hospitalization. https://ukrjnd.com.ua/index.php/journal/article/view/32chronic kidney disease, predictors of hospitalization |
| spellingShingle | I. Dudar Y. Gonchar V. Savchuk THE PREDICTORS OF HOSPITALIZATION IN HEMODIALYSIS PATIENTS Український Журнал Нефрології та Діалізу chronic kidney disease, predictors of hospitalization |
| title | THE PREDICTORS OF HOSPITALIZATION IN HEMODIALYSIS PATIENTS |
| title_full | THE PREDICTORS OF HOSPITALIZATION IN HEMODIALYSIS PATIENTS |
| title_fullStr | THE PREDICTORS OF HOSPITALIZATION IN HEMODIALYSIS PATIENTS |
| title_full_unstemmed | THE PREDICTORS OF HOSPITALIZATION IN HEMODIALYSIS PATIENTS |
| title_short | THE PREDICTORS OF HOSPITALIZATION IN HEMODIALYSIS PATIENTS |
| title_sort | predictors of hospitalization in hemodialysis patients |
| topic | chronic kidney disease, predictors of hospitalization |
| url | https://ukrjnd.com.ua/index.php/journal/article/view/32 |
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