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Hospitalization among adults with chronic kidney disease: results from the KoreaN cohort study for Outcomes in patients With Chronic Kidney Disease (KNOW-CKD) study.
Park, Yeong-Won; Hwang, Jaeseung; Kim, Minsang; Kim, Seon-Mi; Jeong, Yujin; Kang, Minjung; Kang, Eunjeong; Ryu, Hyunjin; Park, Sue K; Kim, Yaeni; Jeong, Jong Cheol; Han, Seung Hyeok; Oh, Kook-Hwan.
Afiliación
  • Park YW; Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
  • Hwang J; Seoul National University College of Medicine, Seoul, Republic of Korea.
  • Kim M; Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
  • Kim SM; Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
  • Jeong Y; Department of Biostatistics, Korea University College of Medicine, Seoul, Republic of Korea.
  • Kang M; Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
  • Kang E; Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
  • Ryu H; Department of Transplantation Center, Seoul National University Hospital, Seoul, Republic of Korea.
  • Park SK; Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
  • Kim Y; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
  • Jeong JC; Department of Internal Medicine, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
  • Han SH; Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
  • Oh KH; Department of Internal Medicine and Institute of Kidney Disease, Yonsei University College of Medicine, Seoul, Republic of Korea.
Kidney Res Clin Pract ; 2024 Jul 25.
Article en En | MEDLINE | ID: mdl-39109401
ABSTRACT

Background:

Chronic kidney disease (CKD) patients are hospitalized for various conditions. Hospitalization increases the readmission rate and mortality rate, seriously deteriorating patients' quality of life. Consequently, it is crucial to analyze the reasons for hospitalization in CKD patients from a broader perspective according to CKD grade.

Methods:

This is a prospective cohort study of CKD patients entitled the KoreaN Cohort Study for Outcomes in Patients With Chronic Kidney Disease (KNOW-CKD). A total of 2,238 patients were examined, and the reasons for hospitalization were classified into 16 disease categories. The incidence rate ratio (IRR) according to CKD stage was compared using negative bimodal regression analysis.

Results:

The all-cause hospitalization incidence was 184.96 per 1,000 person-years. The most common reason for hospitalization was circulatory system disease, followed by infection and digestive system disease. Among hospitalizations for acute kidney injury, endocrine-nutrition-metabolic-related illness, blood-related disease, and diseases of the nervous system and sensory organs, IRR increased as CKD grade advanced. The incidence of ophthalmologic surgery during hospitalization increased according to the CKD stage. The IRR of KNOW-CKD patients was 6.19 (95% confidence interval, 5.92-6.48; p < 0.001) compared with the general population.

Conclusion:

This in-depth analysis of hospitalizations among CKD patients confirmed that CKD patients were hospitalized for various reasons, such as metabolic, ophthalmic, and hematologic diseases. Early detection and intervention regarding causative diseases of CKD are important to reduce the hospitalization burden and improve patients' quality of life.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Kidney Res Clin Pract Año: 2024 Tipo del documento: Article Pais de publicación: Corea del Sur
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Kidney Res Clin Pract Año: 2024 Tipo del documento: Article Pais de publicación: Corea del Sur