Analysis of factors affecting rehospitalization of patients with chronic kidney disease after educational hospitalization

Eiji Kose,1 Taesong An,2 Akihiko Kikkawa,2 Yoshiaki Matsumoto,3 Hiroyuki Hayashi1 1Department of Pharmacotherapy, School of Pharmacy, Nihon University, Funabashi, 2Yokosuka Kyousai Hospital, Yokosuka, 3Department of Clinical Pharmacokinetics, School of Pharmacy, Nihon University, Funabashi, Japan...

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Autores principales:	Kose E, An T, Kikkawa A, Matsumoto Y, Hayashi H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/c88e6e109da44bbeac7519b8e2e33f97
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spelling	oai:doaj.org-article:c88e6e109da44bbeac7519b8e2e33f972021-12-02T02:35:26ZAnalysis of factors affecting rehospitalization of patients with chronic kidney disease after educational hospitalization1179-1438https://doaj.org/article/c88e6e109da44bbeac7519b8e2e33f972014-04-01T00:00:00Zhttp://www.dovepress.com/analysis-of-factors-affecting-rehospitalization-of-patients-with-chron-a16383https://doaj.org/toc/1179-1438 Eiji Kose,1 Taesong An,2 Akihiko Kikkawa,2 Yoshiaki Matsumoto,3 Hiroyuki Hayashi1 1Department of Pharmacotherapy, School of Pharmacy, Nihon University, Funabashi, 2Yokosuka Kyousai Hospital, Yokosuka, 3Department of Clinical Pharmacokinetics, School of Pharmacy, Nihon University, Funabashi, Japan Background: Chronic kidney disease (CKD) is associated with a high risk of cardiovascular disease complications. Therefore, medical institutions conduct educational hospitalization for early treatment and education of CKD patients. However, patients who have been discharged after achieving educational targets can end up showing poor symptoms at home. There also have been several cases of rehospitalization or disease aggravation. In this study, we analyzed rehospitalized patients who were discharged from the hospital after CKD educational hospitalization and investigated the purpose of analyzing rehospitalization factors. Materials and methods: This was an observational case-control study conducted at Yokosuka Kyousai Hospital. We performed univariate analysis using patient background features and laboratory data between a rehospitalization group and a no-rehospitalization group. Next, we performed multiple logistic regression analysis using the results of the univariate analysis. Results: From the results of this study, we identified independent risk factors, such as serum albumin level, heart-failure complications, and estimated glomerular filtration rate (eGFR). Moreover, the serum Alb level was identified as the most important risk factor for rehospitalization. Therefore, we considered that it is important to live a life that makes it possible to maintain CKD stage G3b for a long time after discharge, because the cutoff level of eGFR is 31 mL/minute/1.73 m2. Conclusion: We believe that it is important to educate patients, their families, and medical staff on the importance of early detection and treatment, and we consider that this approach is important to inclusively protect the kidney. Keywords: albumin, glomerular filtration rate, cardiovascular disease, stages of chronic kidney diseaseKose EAn TKikkawa AMatsumoto YHayashi HDove Medical PressarticleTherapeutics. PharmacologyRM1-950ENClinical Pharmacology: Advances and Applications, Vol 2014, Iss default, Pp 71-78 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Therapeutics. Pharmacology RM1-950
spellingShingle	Therapeutics. Pharmacology RM1-950 Kose E An T Kikkawa A Matsumoto Y Hayashi H Analysis of factors affecting rehospitalization of patients with chronic kidney disease after educational hospitalization
description	Eiji Kose,1 Taesong An,2 Akihiko Kikkawa,2 Yoshiaki Matsumoto,3 Hiroyuki Hayashi1 1Department of Pharmacotherapy, School of Pharmacy, Nihon University, Funabashi, 2Yokosuka Kyousai Hospital, Yokosuka, 3Department of Clinical Pharmacokinetics, School of Pharmacy, Nihon University, Funabashi, Japan Background: Chronic kidney disease (CKD) is associated with a high risk of cardiovascular disease complications. Therefore, medical institutions conduct educational hospitalization for early treatment and education of CKD patients. However, patients who have been discharged after achieving educational targets can end up showing poor symptoms at home. There also have been several cases of rehospitalization or disease aggravation. In this study, we analyzed rehospitalized patients who were discharged from the hospital after CKD educational hospitalization and investigated the purpose of analyzing rehospitalization factors. Materials and methods: This was an observational case-control study conducted at Yokosuka Kyousai Hospital. We performed univariate analysis using patient background features and laboratory data between a rehospitalization group and a no-rehospitalization group. Next, we performed multiple logistic regression analysis using the results of the univariate analysis. Results: From the results of this study, we identified independent risk factors, such as serum albumin level, heart-failure complications, and estimated glomerular filtration rate (eGFR). Moreover, the serum Alb level was identified as the most important risk factor for rehospitalization. Therefore, we considered that it is important to live a life that makes it possible to maintain CKD stage G3b for a long time after discharge, because the cutoff level of eGFR is 31 mL/minute/1.73 m2. Conclusion: We believe that it is important to educate patients, their families, and medical staff on the importance of early detection and treatment, and we consider that this approach is important to inclusively protect the kidney. Keywords: albumin, glomerular filtration rate, cardiovascular disease, stages of chronic kidney disease
format	article
author	Kose E An T Kikkawa A Matsumoto Y Hayashi H
author_facet	Kose E An T Kikkawa A Matsumoto Y Hayashi H
author_sort	Kose E
title	Analysis of factors affecting rehospitalization of patients with chronic kidney disease after educational hospitalization
title_short	Analysis of factors affecting rehospitalization of patients with chronic kidney disease after educational hospitalization
title_full	Analysis of factors affecting rehospitalization of patients with chronic kidney disease after educational hospitalization
title_fullStr	Analysis of factors affecting rehospitalization of patients with chronic kidney disease after educational hospitalization
title_full_unstemmed	Analysis of factors affecting rehospitalization of patients with chronic kidney disease after educational hospitalization
title_sort	analysis of factors affecting rehospitalization of patients with chronic kidney disease after educational hospitalization
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/c88e6e109da44bbeac7519b8e2e33f97
work_keys_str_mv	AT kosee analysisoffactorsaffectingrehospitalizationofpatientswithchronickidneydiseaseaftereducationalhospitalization AT ant analysisoffactorsaffectingrehospitalizationofpatientswithchronickidneydiseaseaftereducationalhospitalization AT kikkawaa analysisoffactorsaffectingrehospitalizationofpatientswithchronickidneydiseaseaftereducationalhospitalization AT matsumotoy analysisoffactorsaffectingrehospitalizationofpatientswithchronickidneydiseaseaftereducationalhospitalization AT hayashih analysisoffactorsaffectingrehospitalizationofpatientswithchronickidneydiseaseaftereducationalhospitalization
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Analysis of factors affecting rehospitalization of patients with chronic kidney disease after educational hospitalization

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