4/2/2023 0 Comments Songkong 4.1![]() ![]() Once Taiwanese patients are diagnosed with irreversible uremia by a physician after comprehensive assessment, they must submit an application for proof of catastrophic illness to the agency of the NHI Bureau specializing in chronic renal failure before beginning the regular dialysis treatment. Mortality risk is significantly high (approximately 50%) among patients on dialysis and requiring in-patient emergency medical treatment. Compared with healthy individuals, patients on long-term dialysis have a higher risk of developing atherosclerosis and experiencing both ischemic and hemorrhagic strokes. If patients undergoing HD have other cardiovascular diseases or receive dialysis after an excessively long interval, increases in uremic toxins and poor water removal may lead to emergency medical treatment, and patients may experience acute myocardial infarctions or strokes. Because Taiwanese hospitals do not conduct conventional dialysis on Sunday, patients receiving HD on Friday or Saturday must wait 3 days before their subsequent treatment on Monday or Tuesday. In the Taiwanese health care system, hemodialysis (HD) is generally conducted once every 2 days, thrice a week (Monday, Wednesday, and Friday or Tuesday, Thursday, and Saturday). In 2015, the National Health Insurance (NHI) Administration of the Ministry of Health and Welfare indicated that more than 70,000 Taiwanese citizens currently had chronic renal failure. End-stage renal disease (ESRD) incidence in Taiwan is once the highest in the world. Therefore, the frequency of emergent HD therapy has increased (thrice a week), as predicted in the current HD policy.Ĭhronic kidney disease (CKD) and its related health and economic burdens are a crucial concern for global public health. Long interdialytic intervals may induce emergency dialysis. Considering 5-year survival status, the mortality rate of patients with HD was 21.94% (255 of 1162), among which those with a history of cerebrovascular disease and diabetes were 68.63% and 72.16%, respectively. ![]() The disease (complication) distribution in the MWF group was higher than that in the TTS group, and the statistics of heart-failure-associated diseases were significantly different. The daily distribution of patients with ESRD in the Monday, Wednesday, and Friday (MWF) and Tuesday, Thursday, and Saturday (TTS) groups who underwent emergent HD showed remarkable person–time on Monday and Tuesday, respectively. The study sample was screened out, and new patients starting HD from 2001 to 2005 were considered. This was a retrospective cohort study that analyzed the medical data of patients on dialysis, which were collected from the National Health Insurance Database of Taiwan for the period 2000 to 2010. This study analyzed the relationship between health resource use and patients on hemodialysis (HD) asking for medical help as well as the outcomes in Taiwan. End-stage renal disease (ESRD) incidence in Taiwan is highest worldwide. ![]()
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