Unplanned hemodialysis initiation: A retrospective analysis of patient characteristics and prognosis in an emergency hospital
Corresponding Author
Mineaki Kitamura
Department of Nephrology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Correspondence
Mineaki Kitamura, Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Japan, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.
Email: [email protected]
Search for more papers by this authorHiroshi Yamashita
Department of Nephrology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorSayaka Sugiyama
Department of Nephrology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorRyoma Kuroki
Department of Nephrology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorHaruka Fukuda
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorAtsushi Sawase
Department of Nephrology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorAyaka Tsuchiyama
Department of Urology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Search for more papers by this authorKosuke Takehara
Department of Urology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Search for more papers by this authorJunichi Watanabe
Department of Urology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Search for more papers by this authorTakahiro Takazono
Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorRyoichi Imamura
Department of Urology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorHiroshi Mukae
Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorTomoya Nishino
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorCorresponding Author
Mineaki Kitamura
Department of Nephrology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Correspondence
Mineaki Kitamura, Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Japan, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.
Email: [email protected]
Search for more papers by this authorHiroshi Yamashita
Department of Nephrology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorSayaka Sugiyama
Department of Nephrology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorRyoma Kuroki
Department of Nephrology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorHaruka Fukuda
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorAtsushi Sawase
Department of Nephrology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorAyaka Tsuchiyama
Department of Urology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Search for more papers by this authorKosuke Takehara
Department of Urology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Search for more papers by this authorJunichi Watanabe
Department of Urology, Nagasaki Harbor Medical Center, Nagasaki, Japan
Search for more papers by this authorTakahiro Takazono
Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorRyoichi Imamura
Department of Urology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorHiroshi Mukae
Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorTomoya Nishino
Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Search for more papers by this authorAbstract
Introduction
Functional decline occurs during dialysis initiation, particularly in unplanned cases. To prevent unplanned hemodialysis, we aimed to identify associated factors from the first referral to the nephrology department to hemodialysis initiation and assess patient prognosis post-unplanned hemodialysis initiation.
Methods
This retrospective study involved 257 Japanese patients initiating hemodialysis and compared patient characteristics based on whether hemodialysis was planned or unplanned at a single center. Patient outcomes were evaluated in collaboration with maintenance hemodialysis centers.
Results
Unplanned hemodialysis initiation correlated with heart failure history (p < 0.05) and infections like pneumonia (p < 0.001). Patients with unplanned hemodialysis initiation had a worse prognosis than those with planned initiation (p < 0.001), and multivariable Cox regression showed it as an independent risk factor for death (p < 0.05).
Conclusions
Hygiene and careful attention to heart failure may reduce unplanned hemodialysis and improve patient well-being and healthcare efficiency. This retrospective analysis highlights crucial considerations for optimizing the initiation of hemodialysis.
CONFLICT OF INTEREST STATEMENT
The authors declare that there is no conflict of interest.
Supporting Information
| Filename | Description |
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| tap14181-sup-0001-Tables.docxWord 2007 document , 22.3 KB | Table S1. Table S2. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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