Decline in Walking Independence and Related Factors in Hospitalization for Dialysis Initiation: A Retrospective Cohort Study
Abstract
:1. Introduction
2. Materials and Methods
Statistical Analysis
3. Results
3.1. Characteristics of Participants
3.2. Differences between Patients with and without DWI
3.3. Factors Associated with DWI
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | N, Mean, Median |
---|---|
Sex | |
Male [N, (%)] | 190 (66.7) |
Female [N, (%)] | 95 (33.3) |
Age (years) | 68.4 ± 14.4 |
Median length of hospitalization (days) | 14 (12–28) |
DWI [N, (%)] | 46 (16.1) |
Hypertension [N, (%)] | 211 (74.0) |
Diabetes mellitus [N, (%)] | 118 (41.4) |
Hyperlipidemia [N, (%)] | 94 (33.0) |
Previous history of CVD [N, (%)] | 123 (43.2) |
Number of rehabilitations [N, (%)] | 84 (29.5) |
Emergency dialysis start [N, (%)] | 106 (37.2) |
Creatinine (mg/dL) | 7.7 ± 3.0 |
eGFR (mL/min/1.73 m2) | 7.1 ± 6.3 |
Geriatric Nutritional Risk Index | 78.2 ± 27.8 |
Malnutrition | 159 (57.4) |
DWI (N = 46) | No DWI (N = 239) | p-Value | |
---|---|---|---|
Male [N, (%)] | 35 (76.1) | 155 (64.9) | 0.139 |
Age (years) | 78.5 ± 8.2 | 66.4 ± 14.6 | <0.001 * |
Height (cm) | 158.0 ± 8.1 | 159.6 ± 9.4 | 0.287 |
Body weight (kg) | 56.2 ± 10.0 | 61.2 ± 15.9 | 0.127 |
BMI (kg/m2) | 22.5 ± 3.6 | 23.9 ± 5.1 | 0.213 |
Median length of hospitalization (days) | 34 (26–64) | 13 (12–22) | <0.001 * |
FIM-walking score at hospitalization < 6 [N, (%)] | 27 (58.7) | 31 (13.0) | <0.001 * |
Number of rehabilitations [N, (%)] | 33 (71.7) | 51 (21.3) | <0.001 * |
EDS [N, (%)] | 32 (69.6) | 74 (31.0) | <0.001 * |
Malnutrition [N, (%)] | 31 (72.1) | 128 (54.7) | 0.034 * |
High CCI [N, (%)] | 37 (80.4) | 108 (45.2) | <0.001* |
CRP (mg/dL) | 0.43 (0.16–0.57) | 0.08 (0.03–0.17) | <0.001 * |
Alb (g/dL) | 3.5 (3.1–3.8) | 3.5 (3.2–3.9) | 0.145 |
Hb (g/dL) | 9.4 (9.1–10.0) | 9.6 (9.0–10.3) | 0.645 |
Univariate Regression | Multiple Logistic | ||||||||
---|---|---|---|---|---|---|---|---|---|
Model 1 | Model 2 | ||||||||
OR | 95% CI | p-Value | OR | 95% CI | p-Value | OR | 95% CI | p-Value | |
Age | 1.075 | 1.040–1.112 | <0.001 * | 1.089 | 1.045–1.135 | <0.001 * | 1.123 | 1.067–1.182 | <0.001 * |
High CCI | 4.987 | 2.305–10.788 | <0.001 * | 4.540 | 1.874–11.001 | 0.001 * | 4.706 | 1.768–12.522 | 0.002 * |
CRP | 1.296 | 1.142–1.471 | <0.001 * | 1.163 | 1.049–1.291 | 0.004 * | 1.180 | 1.057–1.317 | 0.003 * |
EDS | 5.097 | 2.568–10.113 | <0.001 * | 2.720 | 1.217–6.080 | 0.015 * | 2.957 | 1.239–7.059 | 0.015 * |
Sex (male) | 0.580 | 0.280–1.201 | 0.142 | 0.839 | 0.336–2.093 | 0.706 | |||
Malnutrition | 2.139 | 1.047–4.370 | 0.037 * | 1.535 | 0.645–3.654 | 0.332 |
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Hirano, Y.; Fujikura, T.; Kono, K.; Ohashi, N.; Yamaguchi, T.; Hanajima, W.; Yasuda, H.; Yamauchi, K. Decline in Walking Independence and Related Factors in Hospitalization for Dialysis Initiation: A Retrospective Cohort Study. J. Clin. Med. 2022, 11, 6589. https://doi.org/10.3390/jcm11216589
Hirano Y, Fujikura T, Kono K, Ohashi N, Yamaguchi T, Hanajima W, Yasuda H, Yamauchi K. Decline in Walking Independence and Related Factors in Hospitalization for Dialysis Initiation: A Retrospective Cohort Study. Journal of Clinical Medicine. 2022; 11(21):6589. https://doi.org/10.3390/jcm11216589
Chicago/Turabian StyleHirano, Yuma, Tomoyuki Fujikura, Kenichi Kono, Naro Ohashi, Tomoya Yamaguchi, Wataru Hanajima, Hideo Yasuda, and Katsuya Yamauchi. 2022. "Decline in Walking Independence and Related Factors in Hospitalization for Dialysis Initiation: A Retrospective Cohort Study" Journal of Clinical Medicine 11, no. 21: 6589. https://doi.org/10.3390/jcm11216589