{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T18:05:52Z","timestamp":1773252352942,"version":"3.50.1"},"reference-count":38,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nephron"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background\/Aims:&lt;\/i&gt;&lt;\/b&gt; Over one-third of hospital discharges among dialysis patients are followed by 30-day readmission. The first year after dialysis start is a high-risk time frame. We examined the rate, causes, timing, and predictors of 30-day readmissions among adult, incident dialysis patients. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; Hospital readmissions were assessed from the 91st day to the 15th month after the initiation of dialysis using a Mayo Clinic registry linkage to United States Renal Data System claims during the period January 2001\u2013December 2010. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Among 1,727 patients with \u22651 hospitalization, 532 (31%) had \u22651, and 261 (15%) had \u22652 readmissions. Readmission rate was 1.1% per person-day post-discharge, and the highest rates (2.5% per person-day) occurred \u22645 days after index admission. The overall cumulative readmission rate was 33.8% at day 30. Common readmission diagnoses included cardiac issues (22%), vascular disorders (19%), and infection (13%). Similar-cause readmissions to index hospitalization were more common during days 0\u201314 post-discharge than days 15\u201330 (37.5 vs. 22.9%; &lt;i&gt;p&lt;\/i&gt; = 0.004). Younger age at dialysis initiation, inability to transfer\/ambulate, serum creatinine \u22645.3 mg\/dL, higher number of previous hospitalizations, and longer duration on dialysis were associated with higher readmission rates in multivariable analyses. Patients aged 18\u201339 were few (8.3%) but comprised 17.7% of \u201chigh-readmission\u201d users such that a 30-year-old patient had an 87% chance of being readmitted within 30 days of any hospital discharge, whereas an 80-year-old patient had a 25% chance. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; Overall, 30-day readmissions are common within the first year of dialysis start. The first 10-day period after discharge, young patients, and those with poor functional status represent key areas for targeted interventions to reduce readmissions.<\/jats:p>","DOI":"10.1159\/000485985","type":"journal-article","created":{"date-parts":[[2018,1,9]],"date-time":"2018-01-09T22:01:52Z","timestamp":1515535312000},"page":"1-12","source":"Crossref","is-referenced-by-count":15,"title":["Hospital Readmission among New Dialysis Patients Associated with Young Age and Poor Functional Status"],"prefix":"10.1159","volume":"139","author":[{"given":"LaTonya\u00a0J.","family":"Hickson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bjorg","family":"Thorsteinsdottir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priya","family":"Ramar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan\u00a0S.","family":"Reinalda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia\u00a0S.","family":"Crowson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy\u00a0W.","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert\u00a0C.","family":"Albright","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Macaulay\u00a0A.","family":"Onuigbo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew\u00a0D.","family":"Rule","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilay\u00a0D.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2018,1,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.05980809"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/nep.12129"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-4758.2011.00551.x"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2010.099028"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-146-3-200702060-00006"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0904655"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajkd.2003.06.001"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.03680411"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2009070715"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-4758.2009.00396.x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2017.03.025"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1492-7535.2004.01107.x"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.1608"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.4660"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.11611115"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2014.10.015"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S1070-3241(16)30364-9"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2012.04.015"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1002\/sim.2434"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19960229)15:4<361::AID-SIM168>3.0.CO;2-4"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1515"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.09210914"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2015.68"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2014.06.015"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2014060614"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-6686.2012.00310.x"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2005.03.011"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.7326\/M14-0083"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-8-201110180-00008"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S44390"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2012.00268"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.01420213"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1016\/S1553-7250(13)39010-2"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.04200413"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2013080879"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.06840712"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-med-022613-090415"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2011.11.009"}],"container-title":["Nephron"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/485985","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/485985","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:29:45Z","timestamp":1745425785000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000485985"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":38,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,4,26]]},"published-print":{"date-parts":[[2018,5,3]]}},"URL":"https:\/\/doi.org\/10.1159\/000485985","archive":["Portico"],"relation":{},"ISSN":["1660-8151","2235-3186"],"issn-type":[{"value":"1660-8151","type":"print"},{"value":"2235-3186","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}