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Renal Units in Ireland What do they do……………….? IKA AGM Dublin July 2014.

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Presentation on theme: "Renal Units in Ireland What do they do……………….? IKA AGM Dublin July 2014."— Presentation transcript:

1 Renal Units in Ireland What do they do……………….? IKA AGM Dublin July 2014

2 Cardiac-Renal Centre Cork University Hospital

3 Renal Services in 6 Hospital Groups (*/^ – shared access contracted Units; [] planned Units) Hospital GroupRenal UnitsContracted Satellite HD Unit Home Programme Dublin North EastBH CGH [fmc Northern Cross*] [Beacon Drogheda*] PD/HHD Dublin MidlandsAMNCH/SJH MRHT [Beacon Tallaght^] [Portlaoise] [Beacon Sandyford^] PD/HHD Dublin EastSVUH MMUH [Beacon Sandyford^] [fmc Northern Cross*] [Beacon Tallaght^] PD South/South WestCUH/KGH WRH fmc Kilkenny [Wexford] PD/HHD LUHGMWRHDfmc LimerickPD WNWHGGUH/MGH LGH/SGH Wellstone GalwayPD/HHD

4 Programmes in SW Renal Unit ESKD Programme General Nephrology Programme Acute & Consultative Programme Special Populations Programme

5 Patients with Kidney Disease ESKD0.09% of population (4000) CKD21.5% of those >45y AKI20% of hospitalised patients

6

7 Clin J Am Soc Nephrol. 2013 Sep;8(9):1482-93. World incidence of AKI: a meta-analysis. 2004-12154 studies3,585,911 KDIGO definition of AKI Adults:21.6 (19.3,24.1) % Children33.7 (26.9,41.3) % AKI-affected Mortality Adults:23.9 (22.1,25.7) % Children13.8 (8.8,21.0) %

8 Work in progress at CUH (Plant SF, Clarkson MR) August 2013 71 Cases present to ED with AKI Age (median, IQR)74 (65,84) years ACKD34% Renal Consult 9%

9 564 ESKD Patients in SW

10 Summary Activity 2013 ESKD22,150HD Day Cases 6,400Satellite HD Day Cases 12,050 Home PD Treatments 2,700 Home HD Treatments 2,100 TX OPD Visits CKD 3,600OPD Visits AKI 1,000Consultations

11 Common Partners Common Intensive Care Cardiology Vascular Surgery Cardiothoracic Haematology Urology Obstetrics Diabetes Care Regular General Surgery General Medicine Rheumatology Oncology Infectious Diseases Dermatology Geriatric Medicine Palliative Medicine

12 ESKD Patients in Ireland

13 Prevalent ESKD patients (n) 3960 patients 39.3% HD 6.2% PD/HHD 54.5% TX 862 p.m.p. 339HD 54PD/ HHD 469TX

14 Incident adult ESKD patients (n) 405 patients 81% HD 14% PD 5% TX 88 p.m.p.

15 ESKD Patients 31/12/13 (total patients under governance of 6 Hospital Groups)

16 ESKD Patients 31/12/13 (total patients under governance of 11 Parent Units)

17 HD Patients 31/12/13 (HD patients per facility/PD and HHD also illustrated)

18 Staffing (Consultants) 11 per 1000 ESKD patients 0.06 per 1000 CKD patients

19 Renal Units in Ireland What do they do……………….? IKA AGM Dublin July 2014


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