In-hospital mortality among incident hemodialysis older patients in Peru.

Valero, Fabiola; Herrera-Añazco, Percy; Hernandez, Adrian V.; Miranda, J. Jaime; Peinado, Jesus E.; Tello, Tania; Ortiz, Pedro J.

dc.contributor.author	Herrera-Añazco, Percy
dc.contributor.author	Ortiz, Pedro J.
dc.contributor.author	Peinado, Jesus E.
dc.contributor.author	Tello, Tania
dc.contributor.author	Valero, Fabiola
dc.contributor.author	Hernandez, Adrian V.
dc.contributor.author	Miranda, J. Jaime
dc.date.accessioned	2019-08-08T15:23:45Z
dc.date.available	2019-08-08T15:23:45Z
dc.date.issued	2019
dc.identifier.uri	https://hdl.handle.net/20.500.12866/7141
dc.description.abstract	BACKGROUND: Understanding the pattern of mortality linked to end stage renal disease (ESRD) is important given the increasing ageing population in low- and middle-income countries. METHODS: We analyzed older patients with ESRD with incident hemodialysis, from January 2012 to August 2017 in one large general hospital in Peru. Individual and health system-related variables were analyzed using Generalized Linear Models (GLM) to estimate their association with in-hospital all-cause mortality. Relative risk (RR) with their 95% confidence intervals (95% CI) were calculated. RESULTS: We evaluated 312 patients; mean age 69 years, 93.6% started hemodialysis with a transient central venous catheter, 1.7% had previous hemodialysis indication and 24.7% died during hospital stay. The mean length of stay was 16.1 days (SD 13.5). In the adjusted multivariate models, we found higher in-hospital mortality among those with encephalopathy (aRR 1.85, 95% CI 1.21-2.82 vs. without encephalopathy) and a lower in-hospital mortality among those with eGFR ≤7 mL/min (aRR 0.45, 95% CI 0.31-0.67 vs. eGFR>7 mL/min). CONCLUSIONS: There is a high in-hospital mortality among older hemodialysis patients in Peru. The presence of uremic encephalopathy was associated with higher mortality and a lower estimated glomerular filtration rate with lower mortality.	en_US
dc.language.iso	eng
dc.publisher	Oxford University Press
dc.relation.ispartofseries	International Health
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	Peru	en_US
dc.subject	Female	en_US
dc.subject	Humans	en_US
dc.subject	Male	en_US
dc.subject	Peru/epidemiology	en_US
dc.subject	Aged	en_US
dc.subject	Middle Aged	en_US
dc.subject	Risk Factors	en_US
dc.subject	Aged, 80 and over	en_US
dc.subject	Age Distribution	en_US
dc.subject	epidemiology	en_US
dc.subject	health services	en_US
dc.subject	Hospital Mortality	en_US
dc.subject	mortality	en_US
dc.subject	renal dialysis	en_US
dc.subject	Kidney Failure, Chronic/mortality/therapy	en_US
dc.subject	Renal Dialysis/statistics & numerical data	en_US
dc.title	In-hospital mortality among incident hemodialysis older patients in Peru.	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1093/inthealth/ihz037
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn	1876-3405