ArticleClinical journal of the American Society of Nephrology : CJASN2017
Emergency Department Use among Patients with CKD: A Population-Based Analysis.
Article in Clinical journal of the American Society of Nephrology : CJASN, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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Who cites it
42 citing papers in PubMed, 72 citations in OpenAlex.
- Continuity of Care Surrounding Emergency Department Encounters for People with Kidney Failure in Alberta, Canada: A Qualitative Study.Kidney360 · 2026Article
- Emergency Department Utilization after Initiation of Intermittent Hemodialysis: A Retrospective Cohort Study in Regina, Saskatchewan.Canadian journal of kidney health and disease · 2026Article
- Emergency medical system utilization among patients with end-stage kidney disease during the COVID-19 pandemic: a retrospective cohort study in South Korea.Frontiers in public health · 2026Article
- Frequency of ED visits and mortality among the adults with ESRD on twice-weekly maintenance hemodialysis at tertiary care hospital in Bhutan.International journal of emergency medicine · 2025Article
- Outcomes and Resource Utilization in Hyperkalemic Emergency Department Patients Treated With Patiromer or Sodium Zirconium Cyclosilicate.Journal of the American College of Emergency Physicians open · 2025Article
- Advancing Community Care and Access to Follow-Up after Acute Kidney Injury Hospitalization: A Randomized Clinical Trial.Journal of the American Society of Nephrology : JASN · 2025Article
- Impact of Baseline Kidney Function on the Rate of Progressive Kidney Disease After Pregnancy: A Population-Based Cohort Study Research Protocol.Canadian journal of kidney health and disease · 2025Article
- A retrospective multi-site examination of chronic kidney disease using longitudinal laboratory results and metadata to identify clinical and financial risk.BMC nephrology · 2024Observational
- Cost-Utility of Real-Time Potassium Monitoring in United States Patients Receiving Hemodialysis.Kidney international reports · 2024Article
- Clinical profile and complications seen in the patients in the later stages of chronic kidney disease presenting to the Emergency Department in a tertiary care center in Nepal: a cross-sectional study.Annals of medicine and surgery (2012) · 2024Article
- Trajectories of Physical Resilience Among Older Veterans With Stage 4 CKD.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024Article
- Hyperkalaemia-related reduction of RAASi treatment associates with more subsequent inpatient care.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024Article
- Management of Chronic Heart Failure in Dialysis Patients: A Challenging but Rewarding Path.Reviews in cardiovascular medicine · 2024Review
- Emergency Department Use Among Adults Receiving Dialysis.JAMA network open · 2024Article
- Early repeat hospitalization for fluid overload in individuals with cardiovascular disease and risks: a retrospective cohort study.International urology and nephrology · 2024Article
- CHOP-mediated Gasdermin E expression promotes pyroptosis, inflammation, and mitochondrial damage in renal ischemia-reperfusion injury.Cell death & disease · 2024Article
- Comparison of Acute Health Care Utilization Between Patients Receiving In-Center Hemodialysis and the General Population: A Population-Based Matched Cohort Study From Ontario, Canada.Canadian journal of kidney health and disease · 2024Article
- Prediction of major postoperative events after non-cardiac surgery for people with kidney failure: derivation and internal validation of risk models.BMC nephrology · 2023Article
- Clinical impact of suboptimal RAASi therapy following an episode of hyperkalemia.BMC nephrology · 2023Observational
- Potentially preventable hospitalizations and super-utilization of inpatient services among patients with chronic kidney disease in Hawai'i.BMC nephrology · 2022Article
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectivesAlthough prior studies have observed high resource use among patients with CKD, there is limited exploration of emergency department use in this population and the proportion of encounters related to CKD care specifically. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We identified all adults (≥18 years old) with eGFR<60 ml/min per 1.73 m
resultsDuring mean follow-up of 2.4 years, 111,087 patients had 294,113 emergency department encounters; 64.2% of patients had category G3A CKD, and 1.6% were dialysis dependent. Adjusted rates of overall emergency department use were highest among patients with more advanced CKD; 5.8% of all emergency department encounters were for CKD-specific ambulatory care-sensitive conditions, with approximately one third resulting in hospital admission. Heart failure accounted for over 80% of all potentially preventable emergency department events among patients with categories G3A, G3B, and G4 CKD, whereas hyperkalemia accounted for almost one half (48%) of all ambulatory care-sensitive conditions among patients on dialysis. Adjusted rates of emergency department events for heart failure showed a U-shaped relationship, with the highest rates among patients with category G4 CKD. In contrast, there was a graded association between rates of emergency department use for hyperkalemia and CKD category.
conclusionsEmergency department use is high among patients with CKD, although only a small proportion of these encounters is for potentially preventable CKD-related care. Strategies to reduce emergency department use among patients with CKD will, therefore, need to target conditions other than CKD-specific ambulatory care-sensitive conditions.
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