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- W2608656688 abstract " ABSTRACT Rationale More than 35% of all haemodialysis (HD) patients admitted to a hospital are readmitted in the next 30 days after discharge, with high morbidity, mortality and costs. It is suspected that serious flaws in fluid and anaemia management during the hospitalization, which are not detected and corrected upon re- entry in the outpatient programme, can be a cause. We tried to quantify this phenomenon and clarify its causes and opportunities for prevention. Patients and Methods Retrospective registry study including all patients of NephroCare Portugal network that were submitted to a hospital admission (admission 1) during 2013 and 2014. Two groups were identi- fied: Group A - Patients that had a new admission (admission 2) in the 30 days after discharge of the index admission (admission 1), Group B - Patients that were not readmitted. Causes for hospital admission: hydration status, haemoglobin values, ESA and dry weight prescriptions, and blood pressure control were analysed pre- and post- hospital admission 1. Results A total of 4546 patients were included for analysis registering a hospitalization rate of 0.63 episodes/patient-year. The overall 30 days hospital readmission rate was 34.9% (22.9% in 2013 and 44.7% in 2014). In Group A, with 634 first admissions, there was a significant difference between the normohydrated weight as determined by BCM before and after the first admission: Average weight 65.6 (± 14.7) vs. 63.7 (± 13.9)kg, p 15%) after discharge from the index admission, Dry weight was decreased in that month in 72% of Group A patients and in 39.1% of Group B, leaving 28.1% of patients in group A without a proper prescription and only 7.8% in Group B." @default.
- W2608656688 created "2017-05-05" @default.
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- W2608656688 date "2016-01-01" @default.
- W2608656688 modified "2023-09-23" @default.
- W2608656688 title "Hospital admission and early readmission rates in haemodialysis" @default.
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- W2608656688 hasPublicationYear "2016" @default.
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