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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 1990-2003 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-10 1994 DRGca. 2001 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 (3.7-4.9)<0.0001 Female1.9 (-5 to +8.6)NS Age (years)5.3 (5.1-5.6)<0.0001 Nephrosclerosis19 (7.1-32)<0.002 Other systemic renal disease (primarily DM) 69 (58-82)<0.0001


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