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Table 4 Characteristics of patients in ES group in 2006 and 2012 (16 French regions)

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

 

ES 2006

ES 2012

 

n (%)

n (%)

p

Emergency start rate n (%)

1736/6119 (28.4)

2070/7084 (29.2)

0.282

Men

1060 (61.1)

1339 (64.7)

0.021

Age, y (mean ± SD)

67.2 ± 16.4

67.4 ± 16.6

0.62

Primary renal disease

0.55

 Acute nephropathy

278 (16)

321 (15.5)

 

 Slowly progressive nephropathy

1032 (59.5)

1266 (61.2)

 

 Unknown

426 (24.5)

483 (23.3)

 

Serum Albumin < 30 g/l

340 (19.6)

528 (25.5)

0.004

 Missing

535 (30.8)

487 (23.5)

 

BMI (kg/m2)

0.026

  < 18.5

83 (4.8)

116 (5.6)

 

 18.5–25

584 (33.6)

603 (29.2)

 

  > 25

581 (33.5)

749 (36.2)

 

 Missing

488 (28.1)

602 (29.1)

 

Smoking status

0.002

 Current smoker

168 (9.7)

205 (9.9)

 

 Former smoker

357 (20.6)

481 (23.2)

 

 Never smoker

966 (55.6)

981 (47.4)

 

 Missing

245 (14.1)

403 (19.5)

 

Respiratory disease

244 (14.1)

364 (17.6)

0.001

Hepatic disease

41 (2.4)

65 (3.1)

0.146

Active malignancya

217 (12.5)

303 (14.6)

0.056

Diabetes

666 (38.4)

853 (41.2)

0.145

Cardiovascular diseasesb

0.763

 0

705 (40.6)

840 (40.6)

 

 1

397 (22.9)

449 (21.7)

 

 2

290 (16.7)

348 (16.8)

 

  ≥ 3

344 (19.8)

433 (20.9)

 

Mobility

0.86

 Totally dependent for transfers

166 (9.6)

190 (9.2)

 

 Need assistance for transfers

333 (19.2)

389 (18.8)

 

 Walk without help

1237 (71.3)

1491 (72)

 

First dialysis modality

< 0.001

 HD/HDF

1683 (96.9)

2033 (98.2)

 

 APD/CAPD

53 (3.1)

37 (1.8)

 

Vascular access at initiation

 Central venous catheter

1455 (83.8)

1782 (86.1)

0.001

 Arteriovenous fistula (used or not)

419 (24.1)

432 (20.9)

0.016

Pre-dialysis anemia management

 Hemoglobin < 10 g/dl

920 (53)

1218 (58.8)

0.001

 ESA therapy

496 (28.6)

507 (24.5)

0.289

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

7.23 (5.1–10)

7.75 (5.4–10.7)

0.001

 Missing

368 (21.2)

398 (19.2)

 

Waitlisted at dialysis initiation (< 80 years)

10 (0.7)

31 (2)

0.004

  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