PDF(Pubmed)
Abstract：
UNASSIGNED: Patients on dialysis are twice as likely to have early readmissions. This study aimed to identify risk factors for 30-day unplanned readmission among patients on maintenance dialysis in a tertiary hospital.
UNASSIGNED: We conducted a retrospective, unmatched, case-control study. Data were taken from patients on maintenance hemodialysis admitted in the University of the Philippines-Philippine General Hospital (UP-PGH) between January 2018 and December 2020. Patients with 30-day readmission were included as cases and patients with >30-day readmissions were taken as controls. Multivariable regression with 30-day readmission as the outcome was used to identify significant predictors of early readmission.
UNASSIGNED: The prevalence of 30-day unplanned readmission among patients on dialysis is 36.96%, 95%CI [31.67, 42.48]. In total, 119 cases and 203 controls were analyzed. Two factors were significantly associated with early readmission: the presence of chronic glomerulonephritis [OR 2.35, 95% CI 1.36 to 4.07, p-value=0.002] and number of comorbidities [OR 1.34, 95% CI 1.12 to 1.61, p-value=0.002]. The most common reasons for early readmission are infection, anemia, and uremia/underdialysis.
UNASSIGNED: Patients with chronic glomerulonephritis and multiple comorbidities have significantly increased odds of early readmission. Careful discharge planning and close follow up of these patients may reduce early readmissions.
UNASSIGNED: We conducted a retrospective, unmatched, case-control study. Data were taken from patients on maintenance hemodialysis admitted in the University of the Philippines-Philippine General Hospital (UP-PGH) between January 2018 and December 2020. Patients with 30-day readmission were included as cases and patients with >30-day readmissions were taken as controls. Multivariable regression with 30-day readmission as the outcome was used to identify significant predictors of early readmission.
UNASSIGNED: The prevalence of 30-day unplanned readmission among patients on dialysis is 36.96%, 95%CI [31.67, 42.48]. In total, 119 cases and 203 controls were analyzed. Two factors were significantly associated with early readmission: the presence of chronic glomerulonephritis [OR 2.35, 95% CI 1.36 to 4.07, p-value=0.002] and number of comorbidities [OR 1.34, 95% CI 1.12 to 1.61, p-value=0.002]. The most common reasons for early readmission are infection, anemia, and uremia/underdialysis.
UNASSIGNED: Patients with chronic glomerulonephritis and multiple comorbidities have significantly increased odds of early readmission. Careful discharge planning and close follow up of these patients may reduce early readmissions.
摘要：
■透析患者早期再入院的可能性是后者的两倍。这项研究旨在确定在三级医院接受维持性透析的患者中30天非计划再入院的危险因素。
■我们进行了回顾，无与伦比，病例对照研究。数据来自2018年1月至2020年12月在菲律宾大学-菲律宾综合医院（UP-PGH）接受的维持性血液透析患者。再入院30天的患者作为病例，再入院30天以上的患者作为对照。以30天再入院作为结果的多变量回归用于确定早期再入院的重要预测因素。
■透析患者中30天非计划再入院的患病率为36.96%,95CI[31.67,42.48]。总的来说,对119例病例和203例对照进行分析。两个因素与早期再入院显着相关：慢性肾小球肾炎的存在[OR2.35，95％CI1.36至4.07，p值=0.002]和合并症的数量[OR1.34，95％CI1.12至1.61，p值=0.002]。早期再入院最常见的原因是感染，贫血,尿毒症/透析不足。
■慢性肾小球肾炎和多种合并症患者早期再入院的几率显著增加。仔细的出院计划和对这些患者的密切随访可能会减少早期再入院。
■我们进行了回顾，无与伦比，病例对照研究。数据来自2018年1月至2020年12月在菲律宾大学-菲律宾综合医院（UP-PGH）接受的维持性血液透析患者。再入院30天的患者作为病例，再入院30天以上的患者作为对照。以30天再入院作为结果的多变量回归用于确定早期再入院的重要预测因素。
■透析患者中30天非计划再入院的患病率为36.96%,95CI[31.67,42.48]。总的来说,对119例病例和203例对照进行分析。两个因素与早期再入院显着相关：慢性肾小球肾炎的存在[OR2.35，95％CI1.36至4.07，p值=0.002]和合并症的数量[OR1.34，95％CI1.12至1.61，p值=0.002]。早期再入院最常见的原因是感染，贫血,尿毒症/透析不足。
■慢性肾小球肾炎和多种合并症患者早期再入院的几率显著增加。仔细的出院计划和对这些患者的密切随访可能会减少早期再入院。
