ArticleBMC nephrology2019
Association between the Charlson Comorbidity Index and the risk of 30-day unplanned readmission in patients receiving maintenance dialysis.
Article in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 24 citations in OpenAlex.
- Article
- Facility-level comorbidity burden and cardiovascular outcome in patients undergoing hemodialysis.Kidney research and clinical practice · 2026Article
- Hospital readmission in children on maintenance dialysis: a multicentre, prospective cohort study.Clinical kidney journal · 2026Article
- Impact of residual kidney function on hemodynamic changes during induction of general anesthesia in hemodialysis patients: a retrospective observational study.Journal of anesthesia · 2026Article
- Referral patterns in the CKD.QLD Registry: A call for revisiting the definition of late referral.PloS one · 2026Article
- Charlson comorbidity index and all-cause mortality in patients with delayed hemodialysis initiation: a prospective cohort study.BMC nephrology · 2025Article
- Motor Coordination Disorders in Patients with Chronic Kidney Disease.Journal of clinical medicine · 2025Article
- Creatinine-Based Definition of Kidney Disease in the Charlson Comorbidity Index May Underestimate Prognosis in Males Compared to an Estimated Glomerular Filtration Rate Definition.Journal of clinical medicine · 2024Article
- Predictors of 30-day Unplanned Hospital Readmissions among Maintenance Dialysis Patients.Acta medica Philippina · 2024Article
- Hospitalizations of Chronic Dialysis Patients: A National Study in China.Kidney diseases (Basel, Switzerland) · 2023Article
- The spectrum and changes of biopsy-proven kidney diseases in Chinese children.Journal of nephrology · 2023Article
- Decline in Walking Independence and Related Factors in Hospitalization for Dialysis Initiation: A Retrospective Cohort Study.Journal of clinical medicine · 2022Article
- Development of a Practical Screening Tool to Predict Sarcopenia in Patients on Maintenance Hemodialysis.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- Preadmission assessment of extended length of hospital stay with RFECV-ETC and hospital-specific data.European journal of medical research · 2022Article
- Frequency and timing of emergency department visits and hospital admissions in stented patients following common stone procedures.Urolithiasis · 2022Article
- Association of Physical Performance, Muscle Strength and Body Composition with Self-Assessed Quality of Life in Hemodialyzed Patients: A Cross-Sectional Study.Journal of clinical medicine · 2022Article
- The hospitalization burden of inflammatory bowel disease in China: a nationwide study from 2013 to 2018.Therapeutic advances in gastroenterology · 2022Article
- Risk factors and outcomes of cardiovascular disease readmission within the first year after dialysis in peritoneal dialysis patients.Renal failure · 2021Article
- Association of short-term exposure to ambient PMBMJ open · 2020Article
- Incidence of neuromyelitis optica spectrum disorder (NMOSD) in China: A national population-based study.The Lancet regional health. Western Pacific · 2020Article
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients receiving maintenance hemodialysis (HD) and peritoneal dialysis (PD) are frequently hospitalized. Reducing unplanned 30-day hospital readmissions is a key priority for improving the quality of health care. The purpose of this study was to assess the association between the Charlson Comorbidity Index (CCI), which has been used to evaluate multi-comorbidities status, and 30-day readmission in patients on HD and PD therapy.
methodsThe Hospital Quality Monitoring System (HQMS), a national administrative database for hospitalized patients in China was used to extract dialysis patients admitted from January 2013 to December 2015. The outcome was the unplanned readmission following the hospital discharge within 30 days. For patients with multiple hospitalizations, a single hospitalization was randomly selected as the index hospitalization. A cause-specific Cox proportional hazard model was utilized to assess the association of CCI with readmission within 30 days.
resultsOf the 124,721 patients included in the study, 19,893 patients (16.0%) were identified as experiencing unplanned readmissions within 30 days. Compared with patients without comorbidity (CCI = 2, scored for dialysis), the risk of 30-day readmission increased with elevated CCI score. The hazards ratio (HR) for those with CCI 3-4, 5-6 and > 6 was 1.01 (95% confidence interval [CI] 0.98-1.05), 1.09 (95% CI 1.05-1.14), and 1.14 (95% CI 1.09-1.20), respectively.
conclusionsOur study indicated that CCI was independently associated with the risk of 30-day readmission for patients receiving dialysis including HD and PD, and could be used for risk-stratification.
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