Characteristics and treatment of patients not reusing dialyzers in reuse units.

作者: Chike Nathan Okechukwu , Sean M. Orzol , Philip J. Held , Brian J.G. Pereira , Lawrence Y.C. Agodoa

DOI: 10.1053/AJKD.2000.19101

关键词: Intensive care medicineDialysis unitDialyzer reuseDialysis (biochemistry)HemodialysisReuseData sourceMedicine

摘要: Abstract Dialyzer reuse is practiced in more than 75% of the patients and dialysis units United States. However, not a small fraction treated (RUUs). This study evaluates both patient facility characteristics associated with nonreuse RUUs. The data source from Dialysis Mortality Morbidity Study, Waves 1, 3, 4, US Renal Data System. Only facilities that dialyzer were included analysis. A total 12,094 1,095 studied. Patients undergoing hemodialysis as December 31, 1993, selected. Of all RUUs, 8% did dialyzers. Nonreuse was significantly ( P

参考文章(19)
E. Baris, M. McGregor, The reuse of hemodialyzers: an assessment of safety and potential savings Canadian Medical Association Journal. ,vol. 148, pp. 175- 183 ,(1993)
Jerome I. Tokars, Elaine R. Miller, Miriam J. Alter, Matthew J. Arduino, National surveillance of dialysis associated diseases in the United States, 1995. Asaio Journal. ,vol. 44, pp. 98- 107 ,(1998) , 10.1097/00002480-199801000-00019
Peter C. Farrell, Joseph W. Eschbach, Joseph E. Vizzo, Albert L. Babb, Hemodialyzer reuse: Estimation of area loss from clearance data Kidney International. ,vol. 5, pp. 446- 450 ,(1974) , 10.1038/KI.1974.63
FK Port, SM Orzol, PJ Held, RA Wolfe, Trends in treatment and survival for hemodialysis patients in the United States. American Journal of Kidney Diseases. ,vol. 32, pp. 34- 38 ,(1998) , 10.1016/S0272-6386(98)70159-3
Frank A. Gotch, Nathan W. Levin, Friedrich K. Port, Robert A. Wolfe, Dominik E. Uehlinger, Clinical outcome relative to the dose of dialysis is not what you think: the fallacy of the mean. American Journal of Kidney Diseases. ,vol. 30, pp. 1- 15 ,(1997) , 10.1016/S0272-6386(97)90558-8
Harold I Feldman, Monica Kinosian, Warren B Bilker, Christopher Simmons, John H Holmes, Mark V Pauly, José J Escarc, Effect of Dialyzer Reuse on Survival of Patients Treated with Hemodialysis JAMA. ,vol. 276, pp. 620- 625 ,(1996) , 10.1001/JAMA.1996.03540080042027
Kotagal S. Kant, Victor E. Pollak, Margaret Cathey, Dan Goetz, Rebecca Berlin, David F. Eydel, Judy Tessel, Roberta Hall, Multiple use of dialyzers: Safety and efficacy Kidney International. ,vol. 19, pp. 728- 738 ,(1981) , 10.1038/KI.1981.73
Philip J. Held, Robert A. Wolfe, Daniel S. Gaylin, Friedrich K. Port, Nathan W. Levin, Marc N. Turenne, Analysis of the Association of Dialyzer Reuse Practices and Patient Outcomes American Journal of Kidney Diseases. ,vol. 23, pp. 692- 708 ,(1994) , 10.1016/S0272-6386(12)70280-9
Philip J. Held, Friedrich K. Port, Robert A. Wolfe, David C. Stannard, Caitlin E. Carroll, John T. Daugirdas, Wendy E. Bloembergen, Joel W. Greer, Raymond M. Hakim, The dose of hemodialysis and patient mortality Kidney International. ,vol. 50, pp. 550- 556 ,(1996) , 10.1038/KI.1996.348
LY Agodoa, RA Wolfe, FK Port, Reuse of dialyzers and clinical outcomes: Fact or fiction American Journal of Kidney Diseases. ,vol. 32, pp. 88- 92 ,(1998) , 10.1016/S0272-6386(98)70169-6