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Seasonal variation in hemodialysis initiation: A single-center retrospective analysis

https://hiroshima.repo.nii.ac.jp/records/2007968
https://hiroshima.repo.nii.ac.jp/records/2007968
293aca6a-598a-483c-a478-c63bab656189
名前 / ファイル ライセンス アクション
PLoSONE_12_e0178967.pdf PLoSONE_12_e0178967.pdf (1.6 MB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-03-18
タイトル
タイトル Seasonal variation in hemodialysis initiation: A single-center retrospective analysis
言語 en
作成者 Maeoka, Yujiro

× Maeoka, Yujiro

en Maeoka, Yujiro

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Naito, Takayuki

× Naito, Takayuki

en Naito, Takayuki

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Irifuku, Taisuke

× Irifuku, Taisuke

en Irifuku, Taisuke

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Shimizu, Yuka

× Shimizu, Yuka

en Shimizu, Yuka

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Ogawa, Takahiko

× Ogawa, Takahiko

en Ogawa, Takahiko

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Masaki, Takao

× Masaki, Takao

en Masaki, Takao

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
権利情報 © 2017 Maeoka et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
内容記述
内容記述 The number of new dialysis patients has been increasing worldwide, particularly among elderly individuals. However, information on seasonal variation in hemodialysis initiation in recent decades is lacking, and the seasonal distribution of patients' conditions immediately prior to starting dialysis remains unclear. Having this information could help in developing a modifiable approach to improving pre-dialysis care. We retrospectively investigated the records of 297 patients who initiated hemodialysis at Hiroshima Prefectural Hospital from January 1st, 2009 to December 31st, 2013. Seasonal differences were assessed by χ2 or Kruskal-Wallis tests. Multiple comparison analysis was performed with the Steel test. The overall number of patients starting dialysis was greatest in winter (n = 85, 28.6%), followed by spring (n = 74, 24.9%), summer (n = 70, 23.6%), and autumn (n = 68, 22.9%), though the differences were not significant. However, there was a significant winter peak in dialysis initiation among patients aged ≥65 years, but not in those aged <65 years. Fluid overload assessed by clinicians was the most common uremic symptom among all patients, but a winter peak was only detected in patients aged ≥65 years. The body weight gain ratio showed a similar trend to fluid overload assessed by clinicians. Pulmonary edema was most pronounced in winter among patients aged ≥65 years compared with other seasons. The incidences of infection were modestly increased in summer and winter, but not statistically significant. Cardiac complications were similar in all seasons. This study demonstrated the existence of seasonal variation in dialysis initiation, with a winter peak among patients aged ≥65 years. The winter increment in dialysis initiation was mainly attributable to increased fluid overload. These findings suggest that elderly individuals should be monitored particularly closely during the winter.
言語 en
出版者
出版者 Public Library of Science
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
関連情報
識別子タイプ DOI
関連識別子 10.1371/journal.pone.0178967
関連情報
識別子タイプ DOI
関連識別子 https://doi.org/10.1371/journal.pone.0178967
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1932-6203
開始ページ
開始ページ e0178967
書誌情報 PLoS ONE
PLoS ONE

巻 12, 号 6, p. e0178967, 発行日 2017-06-02
旧ID 47660
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