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Psychiatric illness and mortality in hospitalized ESKD dialysis patients

Clinical Journal of the American Society of Nephrology Sep 13, 2019

Kimmel PL, Fwu CW, Abbott KC, et al. - Among hospitalized adult dialysis patients with ESKD, researchers examined the links between hospitalizations with psychiatric diagnoses and all-cause mortality following discharge, using multivariable-adjusted Cox proportional hazards regression models. In adults and children and in elderly adults, depression/affective disorder and organic disorders/dementias were documented as the most common primary psychiatric diagnoses. Findings revealed that pediatric and adult ESKD patients commonly had hospitalizations with psychiatric diagnoses, which were related to subsequent higher mortality in these patients than hospitalizations without psychiatric diagnoses. The burden of mental illness in the population is likely underestimated by the prevalence of hospitalizations with psychiatric diagnoses.
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