Back to Search
Start Over
Acute cholecystitis in end-stage renal disease patients: A nation-wide longitudinal study
- Source :
- Digestive and Liver Disease. 45:142-146
- Publication Year :
- 2013
- Publisher :
- Elsevier BV, 2013.
-
Abstract
- The objective of this study was to evaluate the risks of acute cholecystitis among end-stage renal disease patients and compare the incidence between two dialysis modality.In this retrospective cohort study, records of fifty thousand end-stage renal disease patients older than 20 years of age from 1998 to 2007 and an age, gender, Charlson's score, diabetes, and dyslipidemia matched control cohort were retrieved from Taiwan National Health Insurance Research Database. Hospitalizations for acute cholecystitis were retrieved using ICD-9-CM diagnosis codes and ICD-9-CM operation codes from in-patient claims.The incidence rates were 5.8 per 1000 patient-years in the end-stage renal disease patients and 0.92 per 1000 patient-years in the control group. End-stage renal disease was an independent risk factor for acute cholecystitis. In the end-stage renal disease patients, independent risk factors were old age, higher Charlson's score, diabetes, severe liver disease, atrial fibrillation, and haemodialysis (all p0.05). However, the peritoneal dialysis patients had a higher mortality rate after developing acute cholecystitis.Acute cholecystitis is not uncommon in end-stage renal disease patients. The independent risk factors were older age, higher Charlson's score, atrial fibrillation, severe liver disease, diabetes, and dialysis modality. Haemodialysis patients had a higher risk of acute cholecystitis than PD patients.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Cholecystitis, Acute
Taiwan
End stage renal disease
Cohort Studies
Risk Factors
Internal medicine
medicine
Humans
Longitudinal Studies
Renal replacement therapy
Risk factor
Intensive care medicine
Dialysis
Aged
Retrospective Studies
Hepatology
business.industry
Incidence
Gastroenterology
Retrospective cohort study
Middle Aged
medicine.disease
Hospitalization
Renal Replacement Therapy
Case-Control Studies
Cohort
Cholecystitis
Kidney Failure, Chronic
Female
business
Cohort study
Subjects
Details
- ISSN :
- 15908658
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- Digestive and Liver Disease
- Accession number :
- edsair.doi.dedup.....c2c0479693dc032a90f2a39e72d2617d