Association between regional economic status and renal recovery of dialysis-requiring acute kidney injury among critically ill patients

Chih Chung Shiao, Yu Hsing Chang, Ya Fei Yang, En Tzu Lin, Heng Chih Pan, Chih Hsiang Chang, Chun Te Huang, Min Tsung Kao, Tzung Fang Chuang, Yung Chang Chen, Wei Chih Kan, Feng Chi Kuo, Te Chuan Chen, Yung Ming Chen, Chih Jen Wu, Hung Hsiang Liou, Kuo Cheng Lu, Vin Cent Wu, Tzong Shinn Chu, Mai Szu WuKwan Dun Wu, Ji Tseng Fang, Chiu Ching Huang

研究成果: 雜誌貢獻文章同行評審

摘要

The association between regional economic status and the probability of renal recovery among patients with dialysis-requiring AKI (AKI-D) is unknown. The nationwide prospective multicenter study enrolled critically ill adult patients with AKI-D in four sampled months (October 2014, along with January, April, and July 2015) in Taiwan. The regional economic status was defined by annual disposable income per capita (ADIPC) of the cities the hospitals located. Among the 1,322 enrolled patients (67.1 ± 15.5 years, 36.2% female), 833 patients (63.1%) died, and 306 (23.1%) experienced renal recovery within 90 days following discharge. We categorized all patients into high (n = 992) and low economic status groups (n = 330) by the best cut-point of ADIPC determined by the generalized additive model plot. By using the Fine and Gray competing risk regression model with mortality as a competing risk factor, we found that the independent association between regional economic status and renal recovery persisted from model 1 (no adjustment), model 2 (adjustment to basic variables), to model 3 (adjustment to basic and clinical variables; subdistribution hazard ratio, 1.422; 95% confidence interval, 1.022–1.977; p = 0.037). In conclusion, high regional economic status was an independent factor for renal recovery among critically ill patients with AKI-D.

原文英語
文章編號14573
期刊Scientific Reports
10
發行號1
DOIs
出版狀態已發佈 - 十二月 1 2020

ASJC Scopus subject areas

  • General

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