One-year mortality associations in hemodialysis patients after traumatic brain injury--an eight-year population-based study.

<h4>Purpose</h4>This study aimed to investigate the one-year mortality associations in hemodialysis patients who underwent neurosurgical intervention after traumatic brain injury (TBI) using a nationwide database in Taiwan.<h4>Materials and methods</h4>An age- and gender-matc...

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Autores principales:	Jen-Chieh Liao, Chung-Han Ho, Fu-Wen Liang, Jhi-Joung Wang, Kao-Chang Lin, Chung-Ching Chio, Jinn-Rung Kuo
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ea0618142a4849cdb072dd3721c98dca
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spelling	oai:doaj.org-article:ea0618142a4849cdb072dd3721c98dca2021-11-18T08:24:28ZOne-year mortality associations in hemodialysis patients after traumatic brain injury--an eight-year population-based study.1932-620310.1371/journal.pone.0093956https://doaj.org/article/ea0618142a4849cdb072dd3721c98dca2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24714730/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Purpose</h4>This study aimed to investigate the one-year mortality associations in hemodialysis patients who underwent neurosurgical intervention after traumatic brain injury (TBI) using a nationwide database in Taiwan.<h4>Materials and methods</h4>An age- and gender-matched longitudinal cohort study of 4416 subjects, 1104 TBI patients with end-stage renal disease (ESRD) and 3312 TBI patients without ESRD, was conducted using the National Health Insurance Research Database in Taiwan between January 2000 and December 2007. The demographic characteristics, length of stay (LOS), length of ICU stay, length of ventilation (LOV), and tracheostomy were collected and analyzed. The co-morbidities of hypertension (HTN), diabetes mellitus (DM), myocardial infarction (MI), stroke, and heart failure (HF) were also evaluated.<h4>Results</h4>TBI patients with ESRD presented a shorter LOS, a longer length of ICU stay and LOV, and a higher percentage of comorbidities compared with those without ESRD. TBI patients with ESRD displayed a stable trend of one-year mortality rate, 75.82% to 76.79%, from 2000-2007. For TBI patients with ESRD, the median survival time was 0.86 months, and pre-existing stroke was a significant risk factor of mortality (HR: 1.29, 95% C.I.: 1.08-1.55). Pre-existing DM (HR: 1.35, 95% C.I.: 1.12-1.63) and MI (HR: 1.61, 95% C.I.: 1.07-2.42) effect on the mortality in ESRD patients who underwent TBI surgical intervention in the younger (age<65) and older (age≥65) population, respectively. In addition, the length of ICU stay and tracheostomy may provide important information to predict the mortality risk.<h4>Conclusions</h4>This is the first report indicating an increased risk of one-year mortality among TBI patients with a pre-existing ERSD insult. Comorbidities were more common in TBI patients with ESRD. Physicians should pay more attention to TBI patients with ESRD based on the status of age, comorbidities, length of ICU stay, and tracheostomy to improve their survival.Jen-Chieh LiaoChung-Han HoFu-Wen LiangJhi-Joung WangKao-Chang LinChung-Ching ChioJinn-Rung KuoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 4, p e93956 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jen-Chieh Liao Chung-Han Ho Fu-Wen Liang Jhi-Joung Wang Kao-Chang Lin Chung-Ching Chio Jinn-Rung Kuo One-year mortality associations in hemodialysis patients after traumatic brain injury--an eight-year population-based study.
description	<h4>Purpose</h4>This study aimed to investigate the one-year mortality associations in hemodialysis patients who underwent neurosurgical intervention after traumatic brain injury (TBI) using a nationwide database in Taiwan.<h4>Materials and methods</h4>An age- and gender-matched longitudinal cohort study of 4416 subjects, 1104 TBI patients with end-stage renal disease (ESRD) and 3312 TBI patients without ESRD, was conducted using the National Health Insurance Research Database in Taiwan between January 2000 and December 2007. The demographic characteristics, length of stay (LOS), length of ICU stay, length of ventilation (LOV), and tracheostomy were collected and analyzed. The co-morbidities of hypertension (HTN), diabetes mellitus (DM), myocardial infarction (MI), stroke, and heart failure (HF) were also evaluated.<h4>Results</h4>TBI patients with ESRD presented a shorter LOS, a longer length of ICU stay and LOV, and a higher percentage of comorbidities compared with those without ESRD. TBI patients with ESRD displayed a stable trend of one-year mortality rate, 75.82% to 76.79%, from 2000-2007. For TBI patients with ESRD, the median survival time was 0.86 months, and pre-existing stroke was a significant risk factor of mortality (HR: 1.29, 95% C.I.: 1.08-1.55). Pre-existing DM (HR: 1.35, 95% C.I.: 1.12-1.63) and MI (HR: 1.61, 95% C.I.: 1.07-2.42) effect on the mortality in ESRD patients who underwent TBI surgical intervention in the younger (age<65) and older (age≥65) population, respectively. In addition, the length of ICU stay and tracheostomy may provide important information to predict the mortality risk.<h4>Conclusions</h4>This is the first report indicating an increased risk of one-year mortality among TBI patients with a pre-existing ERSD insult. Comorbidities were more common in TBI patients with ESRD. Physicians should pay more attention to TBI patients with ESRD based on the status of age, comorbidities, length of ICU stay, and tracheostomy to improve their survival.
format	article
author	Jen-Chieh Liao Chung-Han Ho Fu-Wen Liang Jhi-Joung Wang Kao-Chang Lin Chung-Ching Chio Jinn-Rung Kuo
author_facet	Jen-Chieh Liao Chung-Han Ho Fu-Wen Liang Jhi-Joung Wang Kao-Chang Lin Chung-Ching Chio Jinn-Rung Kuo
author_sort	Jen-Chieh Liao
title	One-year mortality associations in hemodialysis patients after traumatic brain injury--an eight-year population-based study.
title_short	One-year mortality associations in hemodialysis patients after traumatic brain injury--an eight-year population-based study.
title_full	One-year mortality associations in hemodialysis patients after traumatic brain injury--an eight-year population-based study.
title_fullStr	One-year mortality associations in hemodialysis patients after traumatic brain injury--an eight-year population-based study.
title_full_unstemmed	One-year mortality associations in hemodialysis patients after traumatic brain injury--an eight-year population-based study.
title_sort	one-year mortality associations in hemodialysis patients after traumatic brain injury--an eight-year population-based study.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/ea0618142a4849cdb072dd3721c98dca
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One-year mortality associations in hemodialysis patients after traumatic brain injury--an eight-year population-based study.

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