Early Comprehensive Kidney Care in Dialysis-Requiring Acute Kidney Injury Survivors: A Populational Study

ASIA unversity > 護理學院 > 護理學系 > 期刊論文 > Item 310904400/115477

jsp.display-item.identifier=請使用永久網址來引用或連結此文件: http://asiair.asia.edu.tw/ir/handle/310904400/115477

题名:	Early Comprehensive Kidney Care in Dialysis-Requiring Acute Kidney Injury Survivors: A Populational Study
作者:	吳軍毅;CHUNYI, WU;Liu, Jia-Sin;Liu, Jia-Sin;Cheng, Cheng-;Cheng, Cheng-Hsu;Huang, Chun-T;Huang, Chun-Te;Yu, Tung-Min;Yu, Tung-Min;Chuang, Ya-We;Chuang, Ya-Wen;Huang, Shih-T;Huang, Shih-Ting;Chih-Cheng, H;Hsu, Chih-Cheng;Wu, Ming-Ju;Wu, Ming-Ju
贡献者:	護理學院護理學系
关键词:	AKI follow-up;acute kidney injury;comprehensive kidney care;dialysis-requiring acute kidney injury;end-stage renal disease.
日期:	2022-04-01
上传时间:	2023-03-29 02:25:30 (UTC+0)
出版者:	亞洲大學
摘要:	Background: For patients with Acute Kidney Injury (AKI), a strong and graded relationship exists between AKI severity and mortality. One of the most severe entities of AKI is Dialysis-Requiring Acute Kidney Injury (D-AKI), which is associated with high rates of mortality and end-stage renal disease (ESRD). For this high-risk population group, there is a lack of evidence regarding optimal post-AKI care. We propose that post-AKI care through the combined efforts of the nephrologist and the multidisciplinary care team may improve outcomes. Our aim here is to study for survivors of dialysis-requiring acute kidney injury, the effects of implementing early comprehensive kidney care. Methods: This is a retrospective longitudinal cohort study of Taiwanese through analyzing the National Health Insurance Research Database (NHIRD). We included patients with acute dialysis during hospitalization from January 1, 2015 to December 31, 2018. Propensity match was done at 1:1, including estimated glomerular filtration rate (eGFR) based on CKD-EPI which was performed due to large initial disparities between these two cohorts. Results: After the propensity match, each cohort had 4,988 patients. The mean eGFR based on CKD-EPI was 27.5 ml/min/1.73 m2, and the mean follow-up period was 1.4 years.The hazard ratio for chronic dialysis or ESRD was 0.55 (95% CI, 0.49-0.62; p < 0.001). The hazard ratio for all-cause mortality was 0.79 (95% CI, 0.57-0.88; p < 0.001). Both outcomes favored early comprehensive kidney care. Conclusions: For survivors of dialysis-requiring acute kidney injury, early comprehensive kidney care significantly lowered risks of chronic dialysis and all-cause mortality.
显示于类别:	[護理學系] 期刊論文

文件中的档案:

档案	描述	大小	格式	浏览次数
index.html		0Kb	HTML	167	检视/开启

在ASIAIR中所有的数据项都受到原著作权保护.

数据加载中.....