[Hospitalizations and comorbidity of diabetic patients on hemodialysis].
We analysed ambulatory case records of all patients dialysed in 7 hemodialysis centers of Kaunas region during the year 2002 (n=186). Separate analysis of 42 diabetic patients was performed and compared with non-diabetics. Mortality was higher in diabetic patients in comparison with non-diabetics (22.5% and 7.3%, respectively; p<0.01). The mean number of associated diseases was 3.0+/-1.2 per diabetic patient. Disability status was worse in diabetic patients (p<0.01). Hospitalization rate of diabetic patients was 1.5 hospitalizations per patient-year at risk, length 27.3 days per patient-year at risk; duration of one hospital stay was 18 days. The most frequent causes of hospitalization: infections (33% of all hospitalizations), diabetes complications (20%) and cardiovascular pathology (18%). Due to infections diabetic patients on hemodialysis were treated in hospital at longest. In incident diabetic patients (n=16) late referral was observed in 50% of patients and hemodialysis was started through central venous catheter. Starting hemodialysis diabetic patients were treated for longer periods in hospital than non-diabetic patients (duration of one hospitalization 40.6+/-24.4 and 21.3+/-10.4 days, respectively; p<0.001).
Vaiciūniene
Rūta
R
Clinic of Nephrology, Kaunas University of Medicine, Lithuania. nefrolog@kmu.lt
Kuzminskis
Vytautas
V
Labutiene
Vilma
V
Dvaranauskaite
Lina
L
Juocaite
Kristina
K
Cesnovaite
Vilda
V
D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology; D015897:Comorbidity; D003627:Data Interpretation, Statistical; D048909:Diabetes Complications / Q000453:epidemiology / Q000401:mortality / Q000628:therapy; D004066:Digestive System Diseases / Q000453:epidemiology; D005260:Female; D005831:Genital Diseases, Female / Q000453:epidemiology; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects; D012216:Rheumatic Diseases / Q000453:epidemiology; D012307:Risk Factors; D013997:Time Factors; D014570:Urologic Diseases / Q000453:epidemiology