Soucie JM, McClellan W
Early death in dialysis patients: risk factors and impact on
incidence and mortality rates
Am Soc Nephrol
J Am Soc Nephrol (abstract)
(Nov) 6:563 1995
In the USRDS database, initial 90-day mortality is not counted.
In this study of 15,000 plus patients from the southeastern USA,
it was found that 6% of all new patients died within 90 days of
initiating dialysis therapy. Exclusion of these early deaths
reduced the ESRD incidence rates by 4-9%, and first year age-
adjusted mortality rates were underestimated by 26-30%. Early
deaths were more frequent among the elderly, white patients,
males, malnourished patients, patients with congestive heart
failure, or with a history of myocardial infarction, depression,
or cancer.
(Daugirdas)
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Am Soc Nephrol
CRF: Problem Areas :
Outcomes (Morbidity, Mortality)