BACKGROUND/AIMS: Few data are available on the impact of residual renal function (RRF) on mortality and hospitalization in hemodialysis (HD) patients. The objective of our study was to compare clinical outcomes for HD patients with and without RRF. METHODS: In a cohort of 118 incident HD patients with RRF (n = 51) and without RRF (n = 67) who started dialysis in a single center, we recorded demographics, laboratory data, medication, hospitalizations and mortality. RESULTS: Patients without RRF were older (p = 0.007), had lower baseline serum albumin levels (p = 0.002) and spent 18.6 more days in hospital per year than those with RRF (p = 0.055). Mean survival time was significantly lower in patients without RRF (p = 0.027). In a Cox proportional hazards model, only RRF remained as a significant independent predictor. CONCLUSIONS: RRF is associated with significantly reduced mortality and hospital days, but does not decrease the hospitalization rate and time to first hospitalization.
BACKGROUND/AIMS: Few data are available on the impact of residual renal function (RRF) on mortality and hospitalization in hemodialysis (HD) patients. The objective of our study was to compare clinical outcomes for HDpatients with and without RRF. METHODS: In a cohort of 118 incident HDpatients with RRF (n = 51) and without RRF (n = 67) who started dialysis in a single center, we recorded demographics, laboratory data, medication, hospitalizations and mortality. RESULTS:Patients without RRF were older (p = 0.007), had lower baseline serum albumin levels (p = 0.002) and spent 18.6 more days in hospital per year than those with RRF (p = 0.055). Mean survival time was significantly lower in patients without RRF (p = 0.027). In a Cox proportional hazards model, only RRF remained as a significant independent predictor. CONCLUSIONS: RRF is associated with significantly reduced mortality and hospital days, but does not decrease the hospitalization rate and time to first hospitalization.
Authors: Rieko Eriguchi; Yoshitsugu Obi; Connie M Rhee; Jason A Chou; Amanda R Tortorici; Anna T Mathew; Taehee Kim; Melissa Soohoo; Elani Streja; Csaba P Kovesdy; Kamyar Kalantar-Zadeh Journal: Hemodial Int Date: 2016-11-25 Impact factor: 1.812
Authors: A-M Nechita; D Rădulescu; I Peride; A Niculae; O Bratu; D Ferechide; A Ciocâlteu; I A Checheriță; D Mischianu Journal: J Med Life Date: 2015 Jul-Sep
Authors: John T Daugirdas; Tom Greene; Michael V Rocco; George A Kaysen; Thomas A Depner; Nathan W Levin; Glenn M Chertow; Daniel B Ornt; Jochen G Raimann; Brett Larive; Alan S Kliger Journal: Kidney Int Date: 2013-01-23 Impact factor: 10.612