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Chronic kidney disease: influence on frequency, duration and costs of hospitalizations in patients with chronic heart failure

Makeeva E. R.

Keywords: hospitalisation, chronic kidney disease, CHF

DOI: 10.18087/rhfj.2012.1.1639

Relevance. Optimization of CHF treatment by the reduction of number of repeated hospitalizations is necessary both from medical and social points of view. Objective. Study of the influence of chronic kidney disease (CKD) on frequency and duration of hospitalizations, as well as on direct medical costs of CHF patients’ hospitalization. Materials and methods. Nonrandomized open-label prospective study in the parallel groups included 308 patients with CHF. Two CHF patients groups were compared: with CKD (GFR <60 ml / min / 1.73 m2) and without CKD (GFR ≥60 ml / min / 1.73 m2). Cost analysis of hospitalizations due to all reasons and concerning CVD exacerbations depending on occurrence of CKD was performed. Results. CKD was diagnosed in 108 patients with (35 %). At occurrence of CKD, mean annual number of hospitalizations due to all reasons per CHF patient was 1.2±0.2 versus 0.9±0.1 per CHF patient without CKD (p=0.001); due to CVD exacerbations at occurrence of CKD – 1.2±0.2 versus 0.9±0.1 without CKD (p=0.001). Presence of CKD increased costs of CHF patients’ hospitalization by 26 %. Conclusion. Presence of CKD in CHF patients increases rate of hospitalizations due to all reasons and due to CVD exacerbation, duration and costs, which must be taken into account at planning of the treatment of this group of patients.
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Makeeva E.R. Chronic kidney disease: influence on frequency, duration and costs of hospitalizations in patients with chronic heart failure. Russian Heart Failure Journal. 2012;13(1):32-35

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