Hospitalization Rate and Causes of Hospitalization Among End Stages Renal Disease Patients Treated with Hemodialysis, Continuous Ambulatory Peritoneal Dialysis and Palliative Care
Hospitalization Rate in End Stages Renal Disease Patients
Keywords:
end-stage renal disease, hemodialysis, peritoneal dialysis, palliative care, hospitalization rateAbstract
End-stage renal disease (ESRD) is a significant public health issue affecting patient outcomes and healthcare resources. This study compared hospitalization rates and cause of hospitalization among ESRD patients receiving hemodialysis (HD), continuous ambulatory peritoneal dialysis (CAPD), and palliative care. A retrospective study of 227 ESRD patients at Lomsak Hospital (HD: 68, CAPD: 84, Palliative: 75) from January 2021 to December 2023 were included in the analysis. The palliative care group had the highest mean age (65.97 ± 8.45 years, p < 0.001). Hospitalization frequency was not significantly difference (p = 0.5122), but CAPD patients had the longest hospital stays (18.74 ± 12.69 days/ year), followed by palliative care (18.33 ± 14.61 days/year) and HD (13.44 ± 12.77 days/year) (p = 0.0373). The main reasons for hospitalization were volume overload, anemia, and metabolic imbalances. CAPD patients had the highest peritonitis rate (26.2%), while HD patients had more vascular access infections (16.8%). Palliative care did not significantly reduce hospitalization, emphasizing the need to improve community-based palliative services. These findings support treatment strategies and healthcare policy improvements for ESRD management.
References
Hsu CY, McCulloch CE, Kaysen GA. Epidemiology and outcomes of chronic kidney disease. Kidney Int 2021;99(3):498-510. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9073222/
Division of Non-Communicable Diseases, Department of Disease Control, Ministry of Public Health. Epidemiology and review of chronic kidney disease prevention measures. Bangkok, Thailand: Department of Disease Control; 2022. Available from: https://ddc.moph.go.th/uploads/publish/1308820220905025852.pdf
KDIGO 2012 Clinical practice guideline for the evaluation and management of chronic kidney disease. Chapter 1: Definition and classification of CKD. Kidney Int Suppl 2013;3(1):19-62. doi:10.1038/kisup.2012.64
van Eck van der Sluijs A, Bonenkamp AA, van Wallene VA, Hoekstra T, Lissenberg-Witte BI, Dekker FW, et al. Differences in hospitalisation between peritoneal dialysis and haemodialysis patients. Eur J Clin Invest 2022;52(2):e13758. doi:10.1111/eci.13758
Pudeebut K, Kamsa-ard S, Oradee O. Survival rates for patients with end-stage renal disease receiving renal replacement therapy at Yangtalat Hospital, Kalasin Province, Thailand. Srinagarind Med J 2022;37(1):49-55.
Promdech S, Wongsombat A, Muenkaew Y, Sadsadeephaeng B, Tanpradit K, Na-Ek N.
A comparison of survival rates between end stage renal disease patients receiving hemodialysis and continuous ambulatory peritoneal dialysis at Phayao Hospital. Health Sci Sci Technol Rev 2024;17(1):38–51.
Tam-Tham H, Ravani P, Zhang J, Weaver RG, Quinn RR, James MT, et al. Association of initiation of dialysis with hospital length of stay and intensity of care in older adults with kidney failure. JAMA Netw Open 2020;3(2):e200222. doi: 10.1001/jamanetworkopen.2020.0222
Daniel WW, Cross CL. Biostatistics: A foundation for analysis in the health sciences. 11th ed. Hoboken, New Jersey State, USA: Wiley; 2019.
Oliver MJ, Al-Jaishi AA, Dixon SN, Perl J, Jain AK, Lavoie SD, et al. Hospitalization rates for patients on assisted peritoneal dialysis compared with in-center hemodialysis. Clin J Am Soc Nephrol 2016;11(9):1606-14. doi: 10.2215/CJN.10130915
Rayner HC, Pisoni RL, Bommer J, Canaud B, Hecking E, Locatelli F, et al. Mortality and hospitalization in haemodialysis patients in five European countries: Results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Nephrol Dial Transplant 2004;19(1):108-20. doi: 10.1093/ndt/gfg483
Chan KY, Cheng HWB, Yap D, Yip T, Li CW, Sham MK, et al. Reduction of acute hospital admissions and improvement in outpatient attendance by intensified renal palliative care clinic follow-up: The Hong Kong experience. J Pain Symptom Manage 2015;49(1):144-9. doi: 10.1016/j.jpainsymman.2014.04.010
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Buddhchinaraj Phisanulok Hospital
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
