Characteristic | Overall | First-year readmission pattern | ||
---|---|---|---|---|
No admissions (Admit-) | Admissions, no readmissions (Admit+/Readmit-) | Readmissions (Admit+/Readmit+) | ||
N (%) | 128,593 (100%) | 65,629 (51.0%) | 39,266 (30.5%) | 23,698 (18.5%) |
Patient demographics | ||||
Mean (SD) age, years | 64.17 (14.51) | 64.25 (14.39) | 65.59 (14.51) | 63.26 (14.78) |
Sex (%) | ||||
Female | 43.82% | 40.46% | 46.36% | 48.91% |
Male | 56.18% | 59.54% | 53.64% | 51.09% |
Race/ethnicity (%) | ||||
Non-Hispanic white | 48.67% | 47.14% | 50.14% | 50.46% |
Black | 30.93% | 31.32% | 30.19% | 31.09% |
Hispanic | 14.13% | 14.37% | 14.18% | 13.39% |
Other | 6.27% | 7.17% | 5.50% | 5.06% |
Comorbid conditions at dialysis start | ||||
Diabetes (%) | 60.36% | 57.75% | 61.87% | 65.07% |
Hypertension (%) | 90.37% | 91.02% | 98.71% | 89.67% |
Congestive heart failure (%) | 32.53% | 29.02% | 35.11% | 37.99% |
Cerebrovascular disease (%) | 10.15% | 9.06% | 10.94% | 11.84% |
Atherosclerotic heart disease (%) | 20.47% | 18.72% | 21.97% | 22.85% |
Peripheral vascular disease (%) | 15.05% | 12.81% | 16.41% | 19.03% |
Cancer (%) | 6.86% | 6.65% | 7.15% | 6.95% |
COPD (%) | 9.79% | 8.01% | 11.05% | 12.64% |
Functional impairmenta (%) | 16.56% | 13.82% | 18.31% | 21.25% |
Access to care | ||||
Received pre-ESRD nephrology care (%) | 69.34% | 71.49% | 68.37% | 64.98% |
Vascular access used on first dialysis (%) | ||||
Fistula | 20.90% | 25.54% | 17.51% | 13.69% |
Graft | 3.72% | 3.95% | 3.61% | 3.25% |
Catheter | 75.38% | 70.50% | 78.89% | 83.06% |
Insurance at dialysis start (%) | ||||
Private | 9.97% | 10.71% | 9.37% | 8.90% |
Medicare | 24.57% | 23.89% | 25.10% | 25.61% |
Medicaid | 31.34% | 28.73% | 32.66% | 36.40% |
Other | 23.86% | 25.57% | 23.24% | 20.16% |
None | 10.26% | 11.11% | 9.64% | 8.93% |