國家衛生研究院 NHRI:Item 3990099045/15226
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/15226


    Title: Transitions of dialysis status and outcomes after the unplanned first dialysis: A nationwide population-based cohort study
    Authors: Liao, CT;Lai, JH;Chen, YW;Hsu, YH;Wu, MY;Zheng, CM;Hsu, CC;Wu, MS;Chuang, SY
    Contributors: Institute of Population Health Sciences;National Center for Geriatrics and Welfare Research
    Abstract: In Taiwan, most first-time dialysis was started without the creation of an arteriovenous shunt. Here, we aimed to elucidate the transitions of dialysis status in the unplanned first dialysis patients and determine factors associated with their outcomes. A total of 50,315 unplanned first dialysis patients aged more than 18 years were identified from the National Health Insurance Dataset in Taiwan between 2001 and 2012. All patients were followed for 5 years for the transitions in dialysis status, including robust (dialysis-free), sporadic dialysis, continued dialysis, and death. Furthermore, factors associated with the development of continued dialysis and death were examined by the Cox proportional hazard models. After 5 years after the first dialysis occurrence, there were 5.39% with robust status, 1.67% with sporadic dialysis, 8.45% with continued dialysis, and 84.48% with death. Notably, we have identified common risk factors for developing maintenance dialysis and deaths, including male gender, older age, diabetes, coronary heart disease, stroke, heart failure, sepsis, and surgery. There was an extremely high mortality rate among the first unplanned dialysis patients in Taiwan. Less than 10% of these patients underwent continued dialysis during the 5-year follow-up period. This study highlighted the urgent need for interventions to improve patient outcomes.
    Date: 2023-08-08
    Relation: Scientific Reports. 2023 Aug 08;13:Article number 12867.
    Link to: http://dx.doi.org/10.1038/s41598-023-39913-w
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=2045-2322&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:001044884500001
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85167371835
    Appears in Collections:[Shao-Yuan Chuang] Periodical Articles
    [Chih-Cheng Hsu] Periodical Articles
    [Chih-Cheng Hsu] Patents

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