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Health Care Quality in CKD Subjects: A Cross-Sectional In-Hospital Evaluation

METHODS: The study was performed in a retrospective and observational manner. All adult (age 18 years or older) in-hospital subjects treated from January until December 2019 were included. CKD was diagnosed according to the KDIGO 2012 CKD Guideline. The following variables were assessed: CKD stage,...

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Autores principales: Rzayeva, L., Matyukhin, I., Ritter, O., Patschan, S., Patschan, D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9246581/
https://www.ncbi.nlm.nih.gov/pubmed/35782192
http://dx.doi.org/10.1155/2022/9432509
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author Rzayeva, L.
Matyukhin, I.
Ritter, O.
Patschan, S.
Patschan, D.
author_facet Rzayeva, L.
Matyukhin, I.
Ritter, O.
Patschan, S.
Patschan, D.
author_sort Rzayeva, L.
collection PubMed
description METHODS: The study was performed in a retrospective and observational manner. All adult (age 18 years or older) in-hospital subjects treated from January until December 2019 were included. CKD was diagnosed according to the KDIGO 2012 CKD Guideline. The following variables were assessed: CKD stage, quantification/analysis (yes/no) of blood pressure, proteinuria, serum phosphate, serum 25-OH-D3, ferritin and transferrin saturation, and blood gas analysis. In addition, recommendations of the following medicines were analyzed (given/not given): ACE inhibitor or sartan, phosphate binder, vitamin D3 (activated or native), iron, erythropoietin, and bicarbonate. It was also evaluated whether discharge letters contained CKD-related diagnoses or not. RESULTS: In total, 581 individuals were included in the study. The majority of aspects related to the monitoring and therapeutic management of CKD were either considered in only a small proportion of affected individuals (e.g., quantification of PTH − 5.5%/25-OH-D3 − 6%/transferrin saturation − 13.6%) or avoided nearly at all (e.g., recommendation of erythropoietin—1%, documentation of CKD-MBD diagnosis—0.3%). A reasonable quality of care was identified concerning the blood pressure monitoring (performed in 100%) and blood gas analysis (55% of the patients received analysis). Serum phosphate was measured in 12.9%, particularly in subjects at higher CKD stages. CONCLUSIONS: The current investigation revealed poor quality of care in CKD patients treated at the Brandenburg University Hospital over the period of one year. Quality improvement must be achieved, most likely via a standardized educational program for physicians and a directer access to CKD management guidelines.
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spelling pubmed-92465812022-07-01 Health Care Quality in CKD Subjects: A Cross-Sectional In-Hospital Evaluation Rzayeva, L. Matyukhin, I. Ritter, O. Patschan, S. Patschan, D. Int J Nephrol Research Article METHODS: The study was performed in a retrospective and observational manner. All adult (age 18 years or older) in-hospital subjects treated from January until December 2019 were included. CKD was diagnosed according to the KDIGO 2012 CKD Guideline. The following variables were assessed: CKD stage, quantification/analysis (yes/no) of blood pressure, proteinuria, serum phosphate, serum 25-OH-D3, ferritin and transferrin saturation, and blood gas analysis. In addition, recommendations of the following medicines were analyzed (given/not given): ACE inhibitor or sartan, phosphate binder, vitamin D3 (activated or native), iron, erythropoietin, and bicarbonate. It was also evaluated whether discharge letters contained CKD-related diagnoses or not. RESULTS: In total, 581 individuals were included in the study. The majority of aspects related to the monitoring and therapeutic management of CKD were either considered in only a small proportion of affected individuals (e.g., quantification of PTH − 5.5%/25-OH-D3 − 6%/transferrin saturation − 13.6%) or avoided nearly at all (e.g., recommendation of erythropoietin—1%, documentation of CKD-MBD diagnosis—0.3%). A reasonable quality of care was identified concerning the blood pressure monitoring (performed in 100%) and blood gas analysis (55% of the patients received analysis). Serum phosphate was measured in 12.9%, particularly in subjects at higher CKD stages. CONCLUSIONS: The current investigation revealed poor quality of care in CKD patients treated at the Brandenburg University Hospital over the period of one year. Quality improvement must be achieved, most likely via a standardized educational program for physicians and a directer access to CKD management guidelines. Hindawi 2022-06-23 /pmc/articles/PMC9246581/ /pubmed/35782192 http://dx.doi.org/10.1155/2022/9432509 Text en Copyright © 2022 L. Rzayeva et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Rzayeva, L.
Matyukhin, I.
Ritter, O.
Patschan, S.
Patschan, D.
Health Care Quality in CKD Subjects: A Cross-Sectional In-Hospital Evaluation
title Health Care Quality in CKD Subjects: A Cross-Sectional In-Hospital Evaluation
title_full Health Care Quality in CKD Subjects: A Cross-Sectional In-Hospital Evaluation
title_fullStr Health Care Quality in CKD Subjects: A Cross-Sectional In-Hospital Evaluation
title_full_unstemmed Health Care Quality in CKD Subjects: A Cross-Sectional In-Hospital Evaluation
title_short Health Care Quality in CKD Subjects: A Cross-Sectional In-Hospital Evaluation
title_sort health care quality in ckd subjects: a cross-sectional in-hospital evaluation
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9246581/
https://www.ncbi.nlm.nih.gov/pubmed/35782192
http://dx.doi.org/10.1155/2022/9432509
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