Effect of national holidays on health outcomes of patients receiving peritoneal dialysis in a single center over a ten-year period |
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| Authors: | Wei Yang Li Zeng Huibin Yang Fujia Guo Dan Zhou Wenting Cui Shuran Wu Cong Chen Jiayao Zhao Weidong Wang Ning Yang Hongli Lin Longkai Li |
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| Affiliation: | aDepartment of Nephrology, Liaoning Translational Medicine Center of Nephrology, First Affiliated Hospital of Dalian Medical University, Dalian, China;bFirst Affiliated Hospital, Dalian Medical University, Dalian, China;cCollege of Integrative Medicine, Dalian Medical University, Dalian, China;dGraduate School, Dalian Medical University, Dalian, China |
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| Abstract: | BackgroundNational holidays are associated with high mortality in some diseases, but little is known about patients undergoing peritoneal dialysis (PD). The research aimed to investigate the impact of national holidays on the health outcomes of PD patients.MethodsOver ten years, all episodes of unplanned hospitalization, death, and peritonitis in PD patients were collected in our center. Seven national holidays in China were chosen, and non-holiday days were selected as the control period. The effect of national holidays was observed by comparing the hospitalization, death, and peritonitis rates between holiday and non-holiday groups.ResultsThere were 297 events in all holiday periods and 1247 in non-holiday periods. There is no significant difference in hospitalization rate between holiday and non-holiday groups (32.4% ± 6.4% vs. 29.2% ± 3.4%, p = 0.175). So is the death rate [6.3% (4.8–12.3%) vs.5.0% (4.2–8.9%), p = 0.324] and peritonitis rate [0.19 (0.13–0.53) vs. 0.22 (0.18–0.27), p = 0.445] between the two groups. Significant differences were observed in the distribution of peritonitis causes between the two groups (p = 0.017). The rate of secondary to other infections in the holiday group was significantly higher than in the non-holiday group (25.0 vs. 10.3%, p = 0.015).ConclusionOur study suggested no national holiday effect on health outcomes of PD patients based on ten-year data in our center. |
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| Keywords: | Peritoneal dialysis holiday hospitalization death peritonitis |
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