Outcomes of Acute Mesenteric Ischemia in End-Stage Renal Disease and Predictors of Mortality: A Nationwide Assessment.
acute mesenteric ischemia
ami
end stage renal disease (esrd)
nationwide inpatient sample (nis)
predictors of mortality
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
accepted:
15
04
2023
medline:
18
5
2023
pubmed:
18
5
2023
entrez:
18
5
2023
Statut:
epublish
Résumé
Background Acute mesenteric ischemia (AMI) is an uncommon disease caused by obstruction of blood flow to the bowel, which can lead to high mortality rates. End-stage renal disease (ESRD) is another disease commonly seen in the elderly. There are limited data evaluating the relationship between AMI and ESRD, but it has been shown that ESRD patients have a higher risk of mesenteric ischemia than the general population. Methods This retrospective analysis utilized the National Inpatient Sample database for 2016, 2017, and 2018 to identify patients with AMI. Patients were then divided into two groups, AMI with ESRD and AMI only. All-cause in-patient mortality, hospital length of stay (LOS), and total costs were identified. The Student's t-test was used to analyze continuous variables, while Pearson's Chi-square test was used to analyze categorical variables. Results A total of 169,245 patients were identified, with 10,493 (6.2%) having ESRD. The AMI with ESRD group had a significantly higher mortality rate than the AMI-only group (8.5% vs 4.5%). Patients with ESRD had a longer LOS (7.4 days vs 5.3 days; P = 0.00), and higher total hospital cost ($91,520 vs $58,175; P = 0.00) compared to patients without ESRD. Conclusion The study found that patients with ESRD who were diagnosed with AMI had a significantly higher mortality rate, longer hospital stays, and higher hospital costs than patients without ESRD.
Identifiants
pubmed: 37200648
doi: 10.7759/cureus.37657
pmc: PMC10188235
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e37657Informations de copyright
Copyright © 2023, Kumar et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Ren Fail. 2009;31(9):802-6
pubmed: 19925288
Health Soc Work. 2018 Feb 1;43(1):63-66
pubmed: 29253119
Am J Nephrol. 2012;35(6):491-7
pubmed: 22572613
Am Fam Physician. 2021 Nov 1;104(5):493-499
pubmed: 34783494
Vasc Endovascular Surg. 2019 Jan;53(1):42-50
pubmed: 30360689
Crit Care Nurs Clin North Am. 2018 Mar;30(1):29-39
pubmed: 29413213
J Surg Res. 2013 Mar;180(1):51-5
pubmed: 23122519
Nephrol Dial Transplant. 2016 Jun;31(6):864-7
pubmed: 26264780
Ann Vasc Surg. 2017 Jul;42:111-119
pubmed: 28359796
Cureus. 2020 Jan 20;12(1):e6708
pubmed: 32117659
Int Urol Nephrol. 2010 Mar;42(1):205-10
pubmed: 19629742
World J Emerg Surg. 2018 Jul 27;13:34
pubmed: 30069228
J Gastrointest Surg. 2015 Aug;19(8):1407-14
pubmed: 25917534