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Table 3 Characteristics of patients in the ES group in 2012, according to the number of nephrology consultations in the year before starting dialysis

From: Deleterious effects of dialysis emergency start, insights from the French REIN registry

 

No previous consultation 550/1240 (44.4%)

≥3 previous consultations 451/1240 (36.4%)

 

n (%)

n (%)

p

Men

360 (65.5)

316 (70.1)

0.121

Age, y (mean ± SD)

65 ± 18.06

69.2 ± 15.3

< 0.001

Primary renal disease

< 0.001

 Acute nephropathy

145 (26.3)

31 (6.8)

 

 Slowly progressive nephropathy

236 (42.9)

354 (78.5)

 

 Unknown

169 (30.7)

66 (14.6)

 

Serum Albumin < 30 g/l

172 (31.3)

109 (24.2)

0.017

 Missing

59 (10.7)

67 (14.9)

 

BMI (kg/m2)

< 0.001

  < 18.5

54 (9.8)

23 (5.1)

 

 18.5–25

219 (39.8)

154 (34.1)

 

  > 25

186 (33.8)

213 (47.2)

 

 Missing

91 (16.5)

61 (13.5)

 

Smoking status

0.003

 Current smoker

91 (16.5)

45 (10)

 

 Former smoker

143 (26)

152 (33.7)

 

 Never smoker

216 (39.3)

165 (36.6)

 

 Missing

100 (18.2)

89 (19.7)

 

Respiratory disease

72 (13.1)

103 (22.8)

< 0.001

Hepatic disease

24 (4.4)

12 (2.7)

0.353

Active malignancya

109 (19.8)

51 (11.3)

0.001

Diabetes

173 (31.5)

241 (53.4)

< 0.001

Cardiovascular diseasesb

< 0.001

 0

254 (46.2)

120 (26.6)

 

 1

125 (22.7)

86 (19.1)

 

 2

78 (14.2)

101 (22.4)

 

  ≥ 3

93 (16.9)

144 (31.9)

 

Mobility

0.262

 Totally dependent for transfers

48 (8.7)

32 (7.1)

 

 Need assistance for transfers

84 (15.3)

57 (12.6)

 

 Walk without help

377 (68.5)

317 (70.3)

 

First dialysis modality

0.027

 HD/HDF

543 (98.7)

436 (96.7)

 

 APD/CAPD

7 (1.3)

15 (3.3)

 

Vascular access at initiation

 Central venous catheter

537 (97.6)

301 (66.7)

< 0.001

 Arteriovenous fistula (used or not)

30 (5.5)

207 (45.9)

< 0.001

Pre-dialysis anemia management

 Hemoglobin < 10 g/dl

406 (73.8)

251 (55.7)

< 0.001

 ESA therapy

30 (5.5)

251 (55.7)

< 0.001

Residual eGFR ml/min/1.73m2 (median, IQR)

6.2 (4.2–9.3)

8.9 (6.7–11.7)

< 0.001

 Missing

73 (13.3)

30 (6.7)

 
  1. a Active malignancy: solid tumors or hematological malignancies
  2. bCardiovascular diseases: myocardial infarction, arrhythmias, coronary insufficiency, heart failure, arteritis of the lower limbs, cerebrovascular accident
  3. BMI Body Mass Index, HD hemodialysis, HDF hemodiafiltration, APD automated peritoneal dialysis, CAPD continuous ambulatory peritoneal dialysis, ESA erythropoietin stimulating agent, eGFR estimated glomerular filtration rate