Sex Differences in Hospitalizations with Maintenance Hemodialysis

• DOI: 10.1681/asn.2016090986
• Publication Date: 2017-04-22T00:25:21Z
• Authors: Scott V. Adams; Matthew Rivara; Elani Streja; Alfred K. Cheung; Onyebuchi A. Arah; Kamyar Kalantar-Z...; Rajnish Mehrotra
• Keywords: Adult; Male; Adolescent; Health Status; Clinical Sciences; Patient Readmission; Kidney Failure; Cohort Studies; Young Adult; 03 medical and health sciences; Sex Factors; 0302 clinical medicine; Clinical Research; Renal Dialysis; Risk Factors; Humans; Chronic; 10. No inequality; Serum Albumin; Aged; hemodialysis; Age Factors; Urology & Nephrology; Middle Aged; United States; 3. Good health; Hospitalization; end stage kidney disease; Kidney Failure, Chronic; Female; hospitalization

Hospitalization is a major source of morbidity among patients with ESRD undergoing maintenance hemodialysis and significant contributor to health care costs. To identify subgroups at the highest risk hospitalization, we analyzed by sex, age, race, adjusting for demographic clinical characteristics, hospitalization rates, 30-day readmissions 333,756 hospitalizations 111,653 in facilities operated large dialysis organization United States (2007–2011). The overall rate was 1.85 per person-year much higher women than men (2.08 versus 1.68 year men, P <0.001). Age group–specific rates were consistently same differences greatest younger age groups (for example, aged 18–34 years ≥75 had 54% [95% confidence interval, 42% 67%] 14% 11% 18%] respectively, did respective ages). Women also substantially readmission, largest ages. significantly lower serum albumin level stratification attenuated sex readmission rates. These findings suggest that have risks men. In this cohort, accounting status reflected level.