Changes in hemodialysis catheter management after introduction of the end-stage renal disease prospective payment system

Table 2 Odds ratios and 95% confidence intervals for the association of location of first thrombolytic use with delayed HD

	Any delayed HD
		In 7 days before^* thrombolytics			In 7 days after thrombolytics
Location of thrombolytic administration	n patients	n events	%	OR (95% CI)	n events	%	OR (95% CI)
Pre-PPS (2008–2010)
Within-HD-unit	39,567	2417	6.1	1 (Ref)	2359	6.0	1 (Ref)
Outside-HD-unit	4467	587	13.1	2.11 (1.91–2.32)	353	7.9	1.30 (1.16–1.47)
Post-PPS (2011–2012)
Within-HD-unit	18,509	1284	6.9	1 (Ref)	1252	6.8	1 (Ref)
Outside-HD-unit	4071	579	14.2	2.02 (1.82–2.26)	340	8.4	1.21 (1.07–1.38)

Models are adjusted for age, sex, race, dual eligibility, primary cause of ESRD, ESRD duration, and Liu comorbidity index
^*This 7-day period includes the date of thrombolytic administration
CI, confidence interval; ESRD, end-stage renal disease; HD, hemodialysis; OR, odds ratio; PPS, prospective payment system

ISSN: 1471-2369