From Medical Research:
We found that the characteristics that predict higher emergency department utilization in the ESRD population are similar to the general U.S. population (e.g. more comorbidities, tobacco or alcohol use, and socioeconomic factors like public vs., private insurance), however, the absolute rates of emergency department utilization are about six times higher than the general U.S. population. We found that within the first year of starting dialysis, 55% of patients have an emergency department visit, and about half of those patients are admitted to the hospital. Potentially preventable factors associated with higher ED utilization included catheter or graft (vs. a fistula) for dialysis access and not being under the care of a nephrologist visit prior to starting dialysis.
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