Infection-related hospitalization rates in pediatric versus adult patients with end-stage renal disease in the United States.

Infection-related hospitalization rates in pediatric versus adult patients with end-stage renal disease in the United States. Research Abstract Details 

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Infection-related hospitalization rates in pediatric versus adult patients with end-stage renal disease in the United States. Abstract Text:

Blanche M Chavers,Craig A Solid,David T Gilbertson,Allan J Collins,

Infection is a common cause of morbidity and mortality in patients with ESRD. Infection-related hospitalization (IH) incidence among US Medicare incident pediatric and adult dialysis and transplant patients within 3 yr of presentation was compared from 1996 to 2001: Hemodialysis (HD) patients (pediatric n = 1469; adult n = 305,323); peritoneal dialysis (PD) patients (pediatric n=982; adult n=27,119), and kidney transplant (KTx) patients (pediatric n=1108; adult n=31,663). IH were identified from principal diagnosis codes; IH cumulative incidence and rates were calculated from claims data. Cumulative incidence of IH at 36 mo for incident pediatric patients with ESRD during 1996 to 2001 was 39.9% in HD, 51.2% in PD, and 47.4% in KTx patients (HD or PD versus KTx, P<0.0001). Cumulative incidence for adults was 52.6% in HD, 51.8% in PD, and 39.8% in KTx patients (HD or PD versus KTx, P<0.0001). IH rates per 1000 patient-months were highest for pediatric KTx patients (adjusted rate ratio 1.53 versus HD and 1.90 versus PD, P<0.001 for each) and adult HD patients (adjusted rate ratio 1.20 versus KTx and 1.11 versus PD, P < 0.001 for each). Within the first 36 mo of incidence, IH rates are highest for incident pediatric KTx patients compared with HD and PD patients, in contrast to findings for adult patients with ESRD. Pediatric KTx patients require infection surveillance after transplantation.

Infection-related hospitalization rates in pediatric versus adult patients with end-stage renal disease in the United States. Publishing Authors By Initials

BM Chavers,CA Solid,DT Gilbertson,AJ Collins,

For similar bacterial infections and mycoses: infection: urinary tract infections research abstracts see: bacterial infections and mycoses: infection: urinary tract infections research

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Infection-related hospitalization rates in pediatric versus adult patients with end-stage renal disease in the United States. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Journal of the American Society of Nephrology : JA

VOLUME: 18

Page Numbers: 952-9

Journal Abbreviation: J. Am. Soc. Nephrol.

ISSN: 1046-6673

DAY: 24

MONTH: 01

YEAR: 2007

Infection-related hospitalization rates in pediatric versus adult patients with end-stage renal disease in the United States. Information

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LANGUAGE: eng

NlmUniqueID: 9013836

Infection-related hospitalization rates in pediatric versus adult patients with end-stage renal disease in the United States. Keywords Mesh Terms:

KEYWORDS: Urinary Tract Infections

MESH TERMS: epidemiology

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Grant and Affiliation Information for Infection-related hospitalization rates in pediatric versus adult patients with end-stage renal disease in the United States.

AFFILIATION: University of Minnesota, Department of Pediatrics, Mayo Mail Code 491, 420 Delaware Street SE, Minneapolis, MN 5545, USA. chave001@umn.edu

Country: United States

AGENCY: United States NIDDK

GRANT: N01-DK-9-2343

ACRONYM: DK

MEDLINETA: J Am Soc Nephrol

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