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Admission Patterns for Danish ESRD Patients 1990-2003 DNS National Register and National Patient Register merged 9317 patients 232,760 admissions 167,217.

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Presentation on theme: "Admission Patterns for Danish ESRD Patients 1990-2003 DNS National Register and National Patient Register merged 9317 patients 232,760 admissions 167,217."— Presentation transcript:

1 Admission Patterns for Danish ESRD Patients DNS National Register and National Patient Register merged 9317 patients 232,760 admissions 167,217 admissions after ESRD Average admission duration 6.7 days 3081 hospital years TUS classifications: HD, PD, Transplantation 60-day collapsing rule for dialysis courses

2 This Power Point presentation belongs to the Danish Renal Registry, which owns the copyright. It can be freely used for non-commercial study and educational purposes. Any commercial use or publication requires the prior permission of the Danish Renal Registry.

3 Temporal Changes in Diagnosis Registration ICD DRGca Medical ”Fashions” Illogical Codes Hyperparathyreoidismus secundariusE21.1 Hyperparathyreoidismus non specE21.3 Osteodystrophia renalisN25.0 Hyperparathyreoidismus renalisN25.8 Changes in Admission Practice Late registration (>10 months)

4 ESRD Beds All ESRD

5 Admission Number All ESRD

6 Admission Days All ESRD

7 Admission Age

8 Admission Days: Therapy

9 Admission Days: Age

10 Admission Duration: Age

11 Admission Number: Therapy Vintage RRT Start>1989

12 Admission Days: Therapy Vintage RRT Start>1989

13 Admission No.: HD Therapy Number RRT Start>1989

14 Admission Days: HD Therapy Number RRT Start>1989

15 Admission No.: PD Therapy Number RRT Start>1989

16 Admission Days: PD Therapy Number RRT Start>1989

17 Admission Number: Renal Diagnosis RRT Start>1989

18 Admission Days: Renal Diagnosis RRT Start>1989

19 ICD-10 Dialysis Only

20 Fracture Incidence

21 Dialysis Only Year Admsission Days/Year

22 Dialysis Only

23

24

25 Previous Year Admission and Mortality

26 Mortality Risk at ESRD Increased Risk in percent (Confidence Interval) Significance Previous year admissions (weeks) 4.3 ( )< Female1.9 (-5 to +8.6)NS Age (years)5.3 ( )< Nephrosclerosis19 (7.1-32)<0.002 Other systemic renal disease (primarily DM) 69 (58-82)<0.0001


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