Social determinants of health associated with hemodialysis non-adherence and emergency department utilization: a pilot observational study.
Kamna Singh BalharaLori FisherNaya El HageRosemarie G RamosBernard G JaarPublished in: BMC nephrology (2020)
ED visits after missed HD resulted in elevated LOS and admission rates. Frequently-cited SDOH such as health literacy did not confer significant risk for missing HD. However, pain, physical limitations, and depression were higher among cases. Community-specific collaborations between EDs and dialysis centers would be valuable in identifying risk factors specific to missed HD and ED use, to develop strategies to improve treatment adherence and reduce unnecessary ED utilization.
Keyphrases
- emergency department
- mental health
- risk factors
- healthcare
- chronic kidney disease
- health information
- public health
- physical activity
- pain management
- depressive symptoms
- neuropathic pain
- peritoneal dialysis
- study protocol
- glycemic control
- type diabetes
- adipose tissue
- sleep quality
- clinical trial
- risk assessment
- skeletal muscle
- social media
- insulin resistance
- metabolic syndrome
- human health
- replacement therapy