Association between regional economic status and renal recovery of dialysis-requiring acute kidney injury among critically ill patients
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 Januar...
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| creator | Shiao, Chih-Chung Chang, Yu-Hsing Yang, Ya-Fei Lin, En-Tzu Pan, Heng-Chih Chang, Chih-Hsiang Huang, Chun-Te Kao, Min-Tsung Chuang, Tzung-Fang Chen, Yung-Chang Kan, Wei-Chih Kuo, Feng-Chi Chen, Te-Chuan Chen, Yung-Ming Wu, Chih-Jen Liou, Hung-Hsiang Lu, Kuo-Cheng Wu, Vin-Cent Chu, Tzong-Shinn Wu, Mai-Szu Wu, Kwan-Dun Fang, Ji-Tseng Huang, Chiu-Ching |
| description | 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. |
| doi_str_mv | 10.1038/s41598-020-71540-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7471258</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4322189293</sourcerecordid><originalsourceid>FETCH-LOGICAL-c522t-80bceaafdecdcca0491001ce34d1f4733b1b7c203e8b65e817646ef5f4a787123</originalsourceid><addsrcrecordid>eNp1Uctu1DAUtRCIVqU_0AWyxIZNwM-xs0GqKl5SJTbt2nKcm8GDY0_tpGi-gN_GIaUakOqFX-dxr30QuqDkHSVcvy-CylY3hJFGUSnq_AydMiJkwzhjz4_2J-i8lB2pQ7JW0PYlOuFMa0GUOkW_LktJztvJp4g7mH4CRJxhW482YHApptE7XCY7zQXb2FdwQXKF7iEfcBpw7204FF-aDHezzz5usXXzBPiH7yMcsI-7uTLtmCrisp-8syHU-xDwvlaGOJVX6MVgQ4Hzh_UM3X76eHP1pbn-9vnr1eV14yRjU6NJ58DaoQfXO2eJaCkh1AEXPR2E4ryjnXKMcNDdRoKmaiM2MMhBWKUVZfwMfVh993M3Qu9q7WyD2Wc_2nwwyXrzLxL9d7NN90aJKpe6Grx9MMjpboYymdEXByHYCGkuhglBxEau1Df_UXdpzvX3iqG6XcJgeumIrSyXUykZhsdmKDFL1GaN2tSozZ-ojaqi18fPeJT8DbYS-Eoo-yUQyEe1n7b9DQMNuKc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1895294282</pqid></control><display><type>article</type><title>Association between regional economic status and renal recovery of dialysis-requiring acute kidney injury among critically ill patients</title><source>MEDLINE</source><source>Nature Free</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><source>Free Full-Text Journals in Chemistry</source><source>Springer Nature OA Free Journals</source><creator>Shiao, Chih-Chung ; Chang, Yu-Hsing ; Yang, Ya-Fei ; Lin, En-Tzu ; Pan, Heng-Chih ; Chang, Chih-Hsiang ; Huang, Chun-Te ; Kao, Min-Tsung ; Chuang, Tzung-Fang ; Chen, Yung-Chang ; Kan, Wei-Chih ; Kuo, Feng-Chi ; Chen, Te-Chuan ; Chen, Yung-Ming ; Wu, Chih-Jen ; Liou, Hung-Hsiang ; Lu, Kuo-Cheng ; Wu, Vin-Cent ; Chu, Tzong-Shinn ; Wu, Mai-Szu ; Wu, Kwan-Dun ; Fang, Ji-Tseng ; Huang, Chiu-Ching</creator><creatorcontrib>Shiao, Chih-Chung ; Chang, Yu-Hsing ; Yang, Ya-Fei ; Lin, En-Tzu ; Pan, Heng-Chih ; Chang, Chih-Hsiang ; Huang, Chun-Te ; Kao, Min-Tsung ; Chuang, Tzung-Fang ; Chen, Yung-Chang ; Kan, Wei-Chih ; Kuo, Feng-Chi ; Chen, Te-Chuan ; Chen, Yung-Ming ; Wu, Chih-Jen ; Liou, Hung-Hsiang ; Lu, Kuo-Cheng ; Wu, Vin-Cent ; Chu, Tzong-Shinn ; Wu, Mai-Szu ; Wu, Kwan-Dun ; Fang, Ji-Tseng ; Huang, Chiu-Ching</creatorcontrib><description>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.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-020-71540-7</identifier><identifier>PMID: 32884077</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/4022/1585 ; 692/4022/1950 ; 692/4022/272 ; Acute Kidney Injury - economics ; Acute Kidney Injury - epidemiology ; Acute Kidney Injury - therapy ; Aged ; Arrhythmia ; Compression ; Computers ; Critical Illness - economics ; Critical Illness - epidemiology ; Critical Illness - therapy ; Dialysis ; Economic Status ; EKG ; Female ; Hospital Mortality - trends ; Humanities and Social Sciences ; Humans ; Information processing ; Intensive Care Units ; Male ; Medical screening ; Methods ; multidisciplinary ; Prospective Studies ; Recovery of Function ; Renal Dialysis - economics ; Renal Dialysis - methods ; Science ; Science (multidisciplinary) ; Socioeconomic Factors ; Taiwan - epidemiology</subject><ispartof>Scientific reports, 2020-09, Vol.10 (1), p.14573-14573, Article 14573</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c522t-80bceaafdecdcca0491001ce34d1f4733b1b7c203e8b65e817646ef5f4a787123</citedby><cites>FETCH-LOGICAL-c522t-80bceaafdecdcca0491001ce34d1f4733b1b7c203e8b65e817646ef5f4a787123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7471258/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7471258/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,41096,42165,51551,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32884077$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shiao, Chih-Chung</creatorcontrib><creatorcontrib>Chang, Yu-Hsing</creatorcontrib><creatorcontrib>Yang, Ya-Fei</creatorcontrib><creatorcontrib>Lin, En-Tzu</creatorcontrib><creatorcontrib>Pan, Heng-Chih</creatorcontrib><creatorcontrib>Chang, Chih-Hsiang</creatorcontrib><creatorcontrib>Huang, Chun-Te</creatorcontrib><creatorcontrib>Kao, Min-Tsung</creatorcontrib><creatorcontrib>Chuang, Tzung-Fang</creatorcontrib><creatorcontrib>Chen, Yung-Chang</creatorcontrib><creatorcontrib>Kan, Wei-Chih</creatorcontrib><creatorcontrib>Kuo, Feng-Chi</creatorcontrib><creatorcontrib>Chen, Te-Chuan</creatorcontrib><creatorcontrib>Chen, Yung-Ming</creatorcontrib><creatorcontrib>Wu, Chih-Jen</creatorcontrib><creatorcontrib>Liou, Hung-Hsiang</creatorcontrib><creatorcontrib>Lu, Kuo-Cheng</creatorcontrib><creatorcontrib>Wu, Vin-Cent</creatorcontrib><creatorcontrib>Chu, Tzong-Shinn</creatorcontrib><creatorcontrib>Wu, Mai-Szu</creatorcontrib><creatorcontrib>Wu, Kwan-Dun</creatorcontrib><creatorcontrib>Fang, Ji-Tseng</creatorcontrib><creatorcontrib>Huang, Chiu-Ching</creatorcontrib><title>Association between regional economic status and renal recovery of dialysis-requiring acute kidney injury among critically ill patients</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>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.</description><subject>692/4022/1585</subject><subject>692/4022/1950</subject><subject>692/4022/272</subject><subject>Acute Kidney Injury - economics</subject><subject>Acute Kidney Injury - epidemiology</subject><subject>Acute Kidney Injury - therapy</subject><subject>Aged</subject><subject>Arrhythmia</subject><subject>Compression</subject><subject>Computers</subject><subject>Critical Illness - economics</subject><subject>Critical Illness - epidemiology</subject><subject>Critical Illness - therapy</subject><subject>Dialysis</subject><subject>Economic Status</subject><subject>EKG</subject><subject>Female</subject><subject>Hospital Mortality - trends</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Information processing</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Medical screening</subject><subject>Methods</subject><subject>multidisciplinary</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Renal Dialysis - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shiao, Chih-Chung</au><au>Chang, Yu-Hsing</au><au>Yang, Ya-Fei</au><au>Lin, En-Tzu</au><au>Pan, Heng-Chih</au><au>Chang, Chih-Hsiang</au><au>Huang, Chun-Te</au><au>Kao, Min-Tsung</au><au>Chuang, Tzung-Fang</au><au>Chen, Yung-Chang</au><au>Kan, Wei-Chih</au><au>Kuo, Feng-Chi</au><au>Chen, Te-Chuan</au><au>Chen, Yung-Ming</au><au>Wu, Chih-Jen</au><au>Liou, Hung-Hsiang</au><au>Lu, Kuo-Cheng</au><au>Wu, Vin-Cent</au><au>Chu, Tzong-Shinn</au><au>Wu, Mai-Szu</au><au>Wu, Kwan-Dun</au><au>Fang, Ji-Tseng</au><au>Huang, Chiu-Ching</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between regional economic status and renal recovery of dialysis-requiring acute kidney injury among critically ill patients</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2020-09-03</date><risdate>2020</risdate><volume>10</volume><issue>1</issue><spage>14573</spage><epage>14573</epage><pages>14573-14573</pages><artnum>14573</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>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.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32884077</pmid><doi>10.1038/s41598-020-71540-7</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2045-2322 |
| ispartof | Scientific reports, 2020-09, Vol.10 (1), p.14573-14573, Article 14573 |
| issn | 2045-2322 2045-2322 |
| language | eng |
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| source | MEDLINE; Nature Free; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection; Free Full-Text Journals in Chemistry; Springer Nature OA Free Journals |
| subjects | 692/4022/1585 692/4022/1950 692/4022/272 Acute Kidney Injury - economics Acute Kidney Injury - epidemiology Acute Kidney Injury - therapy Aged Arrhythmia Compression Computers Critical Illness - economics Critical Illness - epidemiology Critical Illness - therapy Dialysis Economic Status EKG Female Hospital Mortality - trends Humanities and Social Sciences Humans Information processing Intensive Care Units Male Medical screening Methods multidisciplinary Prospective Studies Recovery of Function Renal Dialysis - economics Renal Dialysis - methods Science Science (multidisciplinary) Socioeconomic Factors Taiwan - epidemiology |
| title | Association between regional economic status and renal recovery of dialysis-requiring acute kidney injury among critically ill patients |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-11T08%3A35%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Association%20between%20regional%20economic%20status%20and%20renal%20recovery%20of%20dialysis-requiring%20acute%20kidney%20injury%20among%20critically%20ill%20patients&rft.jtitle=Scientific%20reports&rft.au=Shiao,%20Chih-Chung&rft.date=2020-09-03&rft.volume=10&rft.issue=1&rft.spage=14573&rft.epage=14573&rft.pages=14573-14573&rft.artnum=14573&rft.issn=2045-2322&rft.eissn=2045-2322&rft_id=info:doi/10.1038/s41598-020-71540-7&rft_dat=%3Cproquest_pubme%3E4322189293%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1895294282&rft_id=info:pmid/32884077&rfr_iscdi=true |