作者: Huan-Sheng Chen , Chun-Ting Cheng , Chun-Cheng Hou , Hung-Hsiang Liou , Paik-Seong Lim
DOI: 10.1111/HDI.12165
关键词:
摘要: The increasing aging and diabetes mellitus (DM) patients in dialysis population make the quality maintenance of an imperative issue. Recently, number centers were run by private providers, many which apply assurance programs performance management systems to care. We studied facilities Taiwan a chain see clinical outcomes operating under these systemic strategies. Hemodialysis from January 1, 2008 December 31, 2012 25 Taiwan, received consultation service provider, NephroCare (NC), included. Data pivotal analyzed. During 5-year interval, 5161 hemodialysis For volume control, proportion with weight gain ≥4.5% decreases 41.7% 30.2%. Mean Kt/V is 1.74 ± 0.28. albumin level 3.92 ± 0.38 g/dL. Patients phosphate <5.5 mg/dL up 71.8%. mean hemoglobin 10.70 ± 1.40 g/dL. More than 80% have adequate iron status. Further, 73% use native arteriovenous fistula. Hospitalization-free survival rate was 56% at fifth year. Patient year 66.4%. Overall performances maintained very stable NC this temporal data analysis. hospitalization also compare favorably those reported internationally. These results warrant further studies justify application kind