Baseline characteristics and outcomes of end-stage renal disease patients after in-hospital sudden cardiac arrest: a national perspective
| العنوان: | Baseline characteristics and outcomes of end-stage renal disease patients after in-hospital sudden cardiac arrest: a national perspective |
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| المؤلفون: | Mohammed Osman, Sudarshan Balla, Pratik Agrawal, Moinuddin Syed, Safi U. Khan, Mina M. Benjamin, Muhammad Bilal Munir, Anas Alharbi, Muhammad Zia Khan, Muhammad U. Khan |
| المصدر: | J Interv Card Electrophysiol Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, vol 63, iss 3 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Kidney Disease, Context (language use), Comorbidity, Disease, Cardiorespiratory Medicine and Haematology, 030204 cardiovascular system & hematology, Implantable defibrillator, urologic and male genital diseases, Article, End stage renal disease, Kidney Failure, End-stage renal disease, 03 medical and health sciences, 0302 clinical medicine, Clinical Research, Risk Factors, Physiology (medical), Internal medicine, medicine, Humans, 030212 general & internal medicine, Chronic, Risk factor, Propensity Score, Outcome, business.industry, Sudden cardiac arrest, Sudden, Hospitals, female genital diseases and pregnancy complications, Death, In-hospital cardiac arrest, Good Health and Well Being, Death, Sudden, Cardiac, Cardiovascular System & Hematology, Propensity score matching, Cohort, Kidney Failure, Chronic, Trends, medicine.symptom, Cardiology and Cardiovascular Medicine, business, Cardiac |
| الوصف: | Purpose: End stage renal disease (ESRD) is a well-recognized risk factor for development of sudden cardiac arrest (SCA). There is limited data on baseline characteristics and outcomes after an in-hospital SCA event in ESRD patients. Methods: For the purpose of this study, data were obtained from National Inpatient Sample from January 2007 to December 2017. In-hospital SCA was identified using International Classification of Disease, 9th Revision, Clinical Modification and International Classification of Disease, 10th Revision, Clinical Modification codes of 99.60, 99.63 and 5A12012. ESRD patients were subsequently identified using codes of 585.6 and N18.6. Baseline characteristics and outcomes were compared among ESRD and non-ESRD patients in crude and propensity matched (PS) cohorts. Predictors of mortality in ESRD patients after an in-hospital SCA event were analyzed using a multivariate logistic regression model. Results: A total of 1,412,985 patients sustained in-hospital SCA during our study period. ESRD patients with in-hospital SCA were younger and had a higher burden of key co-morbidities. Mortality was similar in ESRD and non-ESRD patients in PS matched cohort (70.4% vs. 70.7%, p = 0.45) with an overall downward trend over our study years. Advanced age, Black race and key co-morbidities independently predicted increased mortality while prior implantable defibrillator was associated with decreased mortality in ESRD patients after an in-hospital SCA event. Conclusion: In the context of in-hospital SCA, mortality is similar in ESRD and non-ESRD patients in adjusted analysis. Adequate risk factor modification could further mitigate the risk of in-hospital SCA among ESRD patients. |
| وصف الملف: | application/pdf |
| تدمد: | 1572-8595 1383-875X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2dbe77e3612bcab3a0597dd98bf9dc5eTest https://doi.org/10.1007/s10840-021-00977-1Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2dbe77e3612bcab3a0597dd98bf9dc5e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15728595 1383875X |
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