Association between regional economic status and renal recovery of dialysis-requiring acute kidney injury among critically ill patients

被引：7

作者：

Shiao, Chih-Chung ^{[1
,2
]}

Chang, Yu-Hsing ^{[3
]}

Yang, Ya-Fei ^{[4
]}

Lin, En-Tzu ^{[5
]}

Pan, Heng-Chih ^{[6
]}

Chang, Chih-Hsiang ^{[7
]}

Huang, Chun-Te ^{[8
]}

Kao, Min-Tsung ^{[9
]}

Chuang, Tzung-Fang ^{[10
]}

Chen, Yung-Chang ^{[7
]}

Kan, Wei-Chih ^{[11
]}

Kuo, Feng-Chi ^{[12
]}

Chen, Te-Chuan ^{[13
]}

Chen, Yung-Ming ^{[14
]}

Wu, Chih-Jen ^{[15
]}

Liou, Hung-Hsiang ^{[16
]}

Lu, Kuo-Cheng ^{[17
]}

Wu, Vin-Cent ^{[14
]}

Chu, Tzong-Shinn ^{[14
]}

Wu, Mai-Szu ^{[18
]}

Wu, Kwan-Dun ^{[14
]}

Fang, Ji-Tseng ^{[7
]}

Huang, Chiu-Ching ^{[19
]}

机构：

[1] Camillians St Marys Hosp Luodong, Div Nephrol, Dept Internal Med, Yilan, Taiwan

[2] St Marys Jr Coll Med Nursing & Management, Yilan, Taiwan

[3] Nan Men Hosp, Div Nephrol, Dept Internal Med, Pingtung, Taiwan

[4] China Med Univ, Div Nephrol, Dept Internal Med, Hsinchu Hosp, Zhubei City, Hsinchu County, Taiwan

[5] Lotung Poh Ai Hosp, Div Nephrol, Dept Internal Med, Yilan, Taiwan

[6] Keelung Chang Gung Mem Hosp, Div Nephrol, Dept Internal Med, Keelung, Taiwan

[7] Chang Gung Univ, Linkou Chang Gung Mem Hosp, Dept Nephrol, Kidney Res Ctr,Coll Med, Taoyuan, Taiwan

[8] Taichung Vet Gen Hosp, Div Internal & Crit Care Med, Dept Crit Care Med, Taichung, Taiwan

[9] Cheng Ching Hosp, Div Nephrol, Taichung, Taiwan

[10] Nantou Hosp, Dept Internal Med, Div Nephrol, Minist Hlth & Welf, Nantou, Taiwan

[11] Chi Mei Med Ctr Yongkang, Dept Internal Med, Div Nephrol, Tainan, Taiwan

[12] Mackay Mem Hosp, Dept Internal Med, Div Nephrol, Taitung Branch, Taitung, Taiwan

[13] Kaohsiung Chang Gung Mem Hosp, Dept Internal Med, Div Nephrol, Kaohsiung, Taiwan

[14] Natl Taiwan Univ Hosp, Dept Internal Med, Div Nephrol, 7 Chung Shan South Rd, Taipei 100, Taiwan

[15] Mackay Mem Hosp, Dept Internal Med, Div Nephrol, Taipei, Taiwan

[16] Sin Ren Hosp, Div Nephrol, New Taipei, Taiwan

[17] Fu Jen Catholic Univ, Fu Jen Catholic Univ Hosp, Sch Med, Div Nephrol,Dept Internal Med, New Taipei, Taiwan

[18] Taipei Med Univ, Sch Med, Dept Internal Med, Coll Med,Div Nephrol, Taipei, Taiwan

[19] China Med Univ Hosp, Dept Internal Med, Div Nephrol, Taichung, Taiwan

来源：

SCIENTIFIC REPORTS | 2020年 / 10卷 / 01期

关键词：

REPLACEMENT THERAPY; SOCIOECONOMIC DEPRIVATION; INTERNATIONAL SOCIETY; PRIMARY ALDOSTERONISM; RISK; OUTCOMES; AKI; EPIDEMIOLOGY; CARE; DISPARITIES;

D O I：

10.1038/s41598-020-71540-7

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

The association between regional economic status and the probability of renal recovery among patients with dialysis-requiring AKI (AKI-D) is unknown. The nationwide prospective multicenter study enrolled critically ill adult patients with AKI-D in four sampled months (October 2014, along with January, April, and July 2015) in Taiwan. The regional economic status was defined by annual disposable income per capita (ADIPC) of the cities the hospitals located. Among the 1,322 enrolled patients (67.1 +/- 15.5 years, 36.2% female), 833 patients (63.1%) died, and 306 (23.1%) experienced renal recovery within 90 days following discharge. We categorized all patients into high (n=992) and low economic status groups (n=330) by the best cut-point of ADIPC determined by the generalized additive model plot. By using the Fine and Gray competing risk regression model with mortality as a competing risk factor, we found that the independent association between regional economic status and renal recovery persisted from model 1 (no adjustment), model 2 (adjustment to basic variables), to model 3 (adjustment to basic and clinical variables; subdistribution hazard ratio, 1.422; 95% confidence interval, 1.022-1.977; p=0.037). In conclusion, high regional economic status was an independent factor for renal recovery among critically ill patients with AKI-D.

引用

页数：10

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