Abstract: SA-PO968
Impact of In-House Dialysis Schedule Change on Hospital Readmission Rate in Hemodialysis Patients
Session Information
- Hemodialysis and Frequent Dialysis - V
November 09, 2019 | Location: Exhibit Hall, Walter E. Washington Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 701 Dialysis: Hemodialysis and Frequent Dialysis
Authors
- Qadeer, Abdul, Stony Brook University Hospital, Coram, New York, United States
- Estrada, Chelsea C., Stony Brook University Medical Center, Stony Brook, New York, United States
- Mustafa, Muhammad Raza, Stony Brook University Hospital, Coram, New York, United States
Background
ESRD patients on Hemodialysis (HD) have high frequency of hospitalization and readmissions for multiple reasons. Once inpatient, they may not get HD treatments on their designated days (MWF or TThS) due to various reasons, including nursing availability and patient condition. We hypothesized that changing HD schedule could impact readmission rate due to care coordination factors
Methods
Data was collected from EMR at Stony Brook University Hospital for adult HD patients admitted from January 2019 to October 2019. First admission was taken as index admission, and dialysis days on index admission were noted as on or off-schedule. Patients who received ≥2 HD treatments on days other than their outpatient schedule were labelled as “off-schedule”. The readmission rate within 30 days and 6 months and baseline demographics was compared using Fisher’s exact test. Continuous variables were compared with t-test
Results
In total, 46 patients were reviewed, of them 10 were labeled as "off-schedule" and 36 as "on-schedule". Mean age of all patients was 60.8±18.6 years, 61.1% were male and 47% Caucasian, with no differences between groups. Both diabetes as cause of ESRD (70% vs. 44.4%), and history of CHF (80% vs. 50%) were more frequent among the off-schedule. Dialysis access between groups was not different. The 30-day readmission rate was not statistically significant (30% vs. 16.7%, p-value 0.3844) between two groups. However, six month readmission rate showed a trend towards significance in off-schedule vs on-schedule group (70% vs. 36%, p-value 0.0772, OR 4.128, 95% CI 0.9315-16.14). There were no deaths in either group at 6 month follow up
Conclusion
Off-schedule inpatient dialysis had no effect on 30 day readmission rate. A trend towards increased rate of readmission within 6 months was observed. Future studies involving more patients and longer follow up are necessary to see the impact of on schedule HD for hospitalized patients