دورية أكاديمية
Hurricanes and Mortality among Patients Receiving Dialysis.
| العنوان: | Hurricanes and Mortality among Patients Receiving Dialysis. |
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| المؤلفون: | Blum MF; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland., Feng Y; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts., Anderson GB; Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, Colorado., Segev DL; Department of Surgery, New York University Grossman School of Medicine, New York, New York., McAdams-DeMarco M; Department of Surgery, New York University Grossman School of Medicine, New York, New York., Grams ME; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.; Department of Medicine, New York University Grossman School of Medicine, New York, New York. |
| المصدر: | Journal of the American Society of Nephrology : JASN [J Am Soc Nephrol] 2022 Sep; Vol. 33 (9), pp. 1757-1766. Date of Electronic Publication: 2022 Jul 14. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer Health, on behalf of the American Society of Nephrology Country of Publication: United States NLM ID: 9013836 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1533-3450 (Electronic) Linking ISSN: 10466673 NLM ISO Abbreviation: J Am Soc Nephrol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2023- : Hagerstown, MD : Wolters Kluwer Health, on behalf of the American Society of Nephrology Original Publication: Baltimore, MD : Williams & Wilkins, c1990- |
| مواضيع طبية MeSH: | Cyclonic Storms* , Renal Dialysis* , Renal Insufficiency*/therapy, Aged ; Female ; Humans ; Male ; Middle Aged ; Kidney ; Proportional Hazards Models ; United States/epidemiology |
| مستخلص: | Background: Hurricanes are severe weather events that can disrupt power, water, and transportation systems. These disruptions may be deadly for patients requiring maintenance dialysis. We hypothesized that the mortality risk among patients requiring maintenance dialysis would be increased in the 30 days after a hurricane. Methods: Patients registered as requiring maintenance dialysis in the United States Renal Data System who initiated treatment between January 1, 1997 and December 31, 2017 in one of 108 hurricane-afflicted counties were followed from dialysis initiation until transplantation, dialysis discontinuation, a move to a nonafflicted county, or death. Hurricane exposure was determined as a tropical cyclone event with peak local wind speeds ≥64 knots in the county of a patient's residence. The risk of death after the hurricane was estimated using time-varying Cox proportional hazards models. Results: The median age of the 187,388 patients was 65 years (IQR, 53-75) and 43.7% were female. There were 27 hurricanes and 105,398 deaths in 529,339 person-years of follow-up on dialysis. In total, 29,849 patients were exposed to at least one hurricane. Hurricane exposure was associated with a significantly higher mortality after adjusting for demographic and socioeconomic covariates (hazard ratio, 1.13; 95% confidence interval, 1.05 to 1.22). The association persisted when adjusting for seasonality. Conclusions: Patients requiring maintenance dialysis have a higher mortality risk in the 30 days after a hurricane. (Copyright © 2022 by the American Society of Nephrology.) |
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| معلومات مُعتمدة: | T32 HL007024 United States HL NHLBI NIH HHS; K24 HL155861 United States HL NHLBI NIH HHS |
| فهرسة مساهمة: | Keywords: USRDS; climate change; dialysis; extreme weather; hurricanes; mortality risk; tropical cyclones |
| تواريخ الأحداث: | Date Created: 20220714 Date Completed: 20230119 Latest Revision: 20230902 |
| رمز التحديث: | 20240513 |
| مُعرف محوري في PubMed: | PMC9529177 |
| DOI: | 10.1681/ASN.2021111520 |
| PMID: | 35835459 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1533-3450 |
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| DOI: | 10.1681/ASN.2021111520 |