Long‐term outcomes of dialysis‐dependent chronic kidney disease patients requiring critical care: an observational matched cohort study

Background The prevalence of dialysis‐dependent chronic kidney disease (CKD5D) patients in Australia is increasing. Aims To describe the long‐term outcome and resource utilisation of CKD5D patients requiring critical care admission. Methods Retrospective matched cohort study conducted in the intensi...

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Bibliographic Details
Published in:Internal medicine journal 2021-04, Vol.51 (4), p.548-556
Main Authors: Secombe, Paul, Moynihan, Gerard, McAnulty, Greg
Format: Article
Language:English
Subjects:
Cardiovascular diseases
Chronic illnesses
chronic renal insufficiency
Cohort analysis
Critical care
critical illness
Dialysis
Intensive care
Kidney diseases
Mechanical ventilation
Mortality
outcome assessment
renal dialysis
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Summary:Background The prevalence of dialysis‐dependent chronic kidney disease (CKD5D) patients in Australia is increasing. Aims To describe the long‐term outcome and resource utilisation of CKD5D patients requiring critical care admission. Methods Retrospective matched cohort study conducted in the intensive care unit (ICU) of Alice Springs Hospital. CKD5D patients admitted between 1 January 2011 and 31 December 2013 were matched by sex, age, Indigenous status and APACHE III score in a 1:1 ratio with a patient without CKD5D. Primary outcome was mortality censored at 31 December 2018, to allow a minimum 5‐year follow up. Secondary outcomes explored resource use including ICU and hospital length of stay (LoS). Results During the study period, 178 (9%) admissions were coded as having CKD5D, 148 (83%) of which were successfully matched. CKD5D patients were older (52 vs 49 years, P
ISSN:1444-0903
1445-5994
DOI:10.1111/imj.14764