Outcomes for dialysis patients with end-stage renal failure admitted to an intensive care unit or high dependency unit

Senthuran, Sivagnanavel, Bandeshe, Hiran, Ranganathan, Dwarakanathan and Boots, Robert (2008) Outcomes for dialysis patients with end-stage renal failure admitted to an intensive care unit or high dependency unit. Medical Journal of Australia, 188 5: 292-295.


Author Senthuran, Sivagnanavel
Bandeshe, Hiran
Ranganathan, Dwarakanathan
Boots, Robert
Title Outcomes for dialysis patients with end-stage renal failure admitted to an intensive care unit or high dependency unit
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
1326-5377
Publication date 2008-03-03
Year available 2008
Sub-type Article (original research)
Open Access Status Not yet assessed
Volume 188
Issue 5
Start page 292
End page 295
Total pages 8
Place of publication Australia
Publisher Australasian Medical Publishing
Language eng
Subject C1
110310 Intensive Care
920204 Evaluation of Health Outcomes
Abstract Objective: To assess the outcomes for chronic dialysis patients requiring admission to an intensive care unit (ICU) or high dependency unit (HDU).
Formatted abstract
Objective: To assess the outcomes for chronic dialysis patients requiring admission to an intensive care unit (ICU) or high dependency unit (HDU).
Design: Retrospective audit of prospectively collected data from local and national
databases.
Setting: The ICU and HDU at a tertiary referral hospital.
Participants: 70 chronic dialysis patients admitted between 2001 and 2006.
Main outcome measures: Unit and hospital mortality, recurrent admission patterns and median survival after discharge from hospital.
Results: For patients’ last admissions, mortality in the ICU or HDU was 17% and in
hospital was 29%. The 12 deaths in the ICU or HDU occurred a median of 18 hours
(range, 3–203 hours) after admission, reflecting the severity of their underlying illness.
The independent predictors of death in hospital were age and the number of non-renal organ systems failing. Patients with pulmonary oedema had a lower risk of death than patients admitted for other reasons. Although 21 patients accounted for 55 of 104 admissions (53%), recurrent admissions to the ICU or HDU generally occurred during different hospital admissions. They were not associated with a higher risk of death in hospital. Patients discharged home had a median survival of 2.25 years, and a median survival of 3.5 years from starting dialysis. The median survival for patients on dialysis in Australia in general is 4.5 years (Australia and New Zealand Dialysis and Transplant Registry).
Conclusion: Dialysis patients discharged home after an ICU or HDU admission have
MJA 2008; 188: 292–295 survival similar to that of Australian dialysis patients generally.
Keyword Dialysis
end-stage renal failure
intensive care
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 20 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 13 Apr 2009, 03:34:59 EST by Sia Athanasas on behalf of Anaesthesiology and Critical Care - RBWH