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Madhuradhar Chegondi, MD Prithvi Sendi, MD Balagangadhar Totapally, MD

PREVALENCE AND MORTALITY TRENDS IN HOSPITALIZED CHILDREN REQUIRING HEMODIALYSIS: AN ANALYSIS KID INPATIENT DATABASE. Madhuradhar Chegondi, MD Prithvi Sendi, MD Balagangadhar Totapally, MD. Objective.

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Madhuradhar Chegondi, MD Prithvi Sendi, MD Balagangadhar Totapally, MD

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  1. PREVALENCE AND MORTALITY TRENDS IN HOSPITALIZED CHILDREN REQUIRING HEMODIALYSIS: AN ANALYSIS KID INPATIENT DATABASE Madhuradhar Chegondi, MD Prithvi Sendi, MD Balagangadhar Totapally, MD

  2. Objective • To analyze the trends in prevalence and mortality rates in children requiring HD and to compare prevalence and mortality.

  3. Methods • Retrospective analysis • HCUP 2012, 2009, 2006 and 2003 KID inpatient database • 1 month – 18 years of age • Weighted comparison • Data analysis - SPSS

  4. Results • A total of 11,810,223 admissions in the years 2012, 2009, 2006 and 2003 • 0.1% of total admissions (12,612) required hemodialysis • 52.2 % males, 32.6% white and 31.8% with private insurance

  5. Results – Variables

  6. Results The prevalence increased from 0.92/10,000 discharges in 2003 to 1.53/10,000 discharges in 2012 (p<0.001, Chi-Square for linear trend) with an overall prevalence of 1.07/10,000 discharges. The mortality rate in children who received HD decreased from 10.36% in 2003 to 8.39% in 2012 (p = 0.01, Chi-Square for linear trend) with an overall mortality rate of 9.48%.

  7. Prevalence and Mortality rates in children requiring HD from 2003 - 2012

  8. Conclusion The overall prevalence of HD in children increased, while the mortality rates significantly decreased over the course of the years

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