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 |