{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T20:23:43Z","timestamp":1773865423012,"version":"3.50.1"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Limited data exist on rehospitalization in paediatric dialysis patients. The objective of this study was to identify indications, rates and risk factors for 30-day readmissions in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used a prospective multinational, multicentre cohort study of haemodialysis (HD) and peritoneal dialysis (PD) patients discharged between July 2017 and July 2018. Readmission was identified as repeat hospitalization within 30\u00a0days of a prior (index) admission. Potentially preventable readmissions were clinically related to the initial admission. Early readmissions were those occurring within 7\u00a0days of discharge. The primary outcome was 30-day readmission. Secondary outcomes included potentially avoidable and early readmissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 54 (31%) of 176 patients (102 PD, 74 HD) had at least one readmission; 84 (18%) discharges were followed by readmission. PD and HD patients had similar readmission rates {30.4% versus 31.1%; hazard ratio [HR] 1.06 [95% confidence interval (CI) 0.61\u20131.81]}. Compared with PD, HD patients had a significantly shorter time to readmission (8 versus 14\u00a0days; P\u00a0=\u00a0.019), higher early readmission rates (46% versus 18%; P\u00a0=\u00a0.010) and risk [odds ratio (OR) 3.87 (95% CI 1.35\u201311.11)]. Main readmission causes were dialysis access\u2013related non-infectious complications (31%) and access infections (22.7%); 47% of readmissions were potentially avoidable. Lower haemoglobin levels were linked to readmission [HR 0.78 (95% CI 0.64\u20130.95)]. Bicarbonate use was associated with a 51% lower readmission risk [HR 0.49 (95% CI 0.24\u20130.99)]. Neurological comorbidity [OR 7.00 (95% CI 1.04\u201347.22)] and partial recovery [OR 56.45 (95% CI 3.02\u20131053.10)] were risk factors for avoidable readmission. Risk of avoidable and early readmission decreased with age [OR 0.98 (95% CI 0.97\u20130.99) and OR 0.99(95%CI 0.98\u20130.99), respectively].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Readmissions are common in paediatric dialysis patients, with a substantial proportion being potentially preventable. To reduce rehospitalizations, interventions should target modifiable factors such as access complications, anaemia and incomplete recovery at discharge, while recognizing non-modifiable risks like HD and younger age to identify high-risk patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ckj\/sfaf401","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T12:33:29Z","timestamp":1766406809000},"source":"Crossref","is-referenced-by-count":0,"title":["Hospital readmission in children on maintenance dialysis: a multicentre, prospective cohort study"],"prefix":"10.1093","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5304-3125","authenticated-orcid":false,"given":"Ye\u015fim","family":"\u00d6zdemir Atikel","sequence":"first","affiliation":[{"name":"Eski\u015fehir Health Practice and Research Center, University of Health Sciences Department of Pediatric Nephrology, , Eski\u015fehir 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