Emergency Department/Urgent Care as Usual Source of Care and Clinical Outcomes in CKD: Findings From the Chronic Renal Insufficiency Cohort Study
AuthorToth-Manikowski, Stephanie M
Hsu, Jesse Y
Fischer, Michael J
Cohen, Jordana B
Lora, Claudia M
Tan, Thida C
Greer, Raquel C
Weir, Matthew R
Schrauben, Sarah J
Saunders, Milda R
Ricardo, Ana C
Lash, James P
MetadataShow full item record
AbstractAmong 3,140 participants, mean age was 65 years, 44% female, 45% non-Hispanic White, 43% non-Hispanic Black, and 9% Hispanic, mean estimated glomerular filtration rate 50 mL/min/1.73 m2. Approximately 90% identified clinic as usual source of care, 9% ED/urgent care, and 1% other. ED/urgent care reflected a more vulnerable population given lower baseline socioeconomic status, higher comorbid condition burden, and poorer blood pressure and glycemic control. Over a median follow-up time of 3.6 years, there were 181 incident end-stage kidney disease events, 264 atherosclerotic events, 263 incident heart failure events, 288 deaths, and 7,957 hospitalizations. Compared to clinic as usual source of care, ED/urgent care was associated with higher risk for all-cause death (HR, 1.53; 95% CI, 1.05-2.23) and hospitalizations (RR, 1.41; 95% CI, 1.32-1.51).
Rights/Terms© 2022 The Authors.
Keywordusual source of care
Health Services Accessibility
Emergency Service, Hospital
Renal Insufficiency, Chronic
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/18525
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