Hospitalization utilization and multidisciplinary care on chronic kidney diseases patients

A cohort study was conducted during 2007 and 2010, and this is a preliminary result of the 1st stage study at the year of 2008. Subjects aged 20-80 years old, estimated glomerular filtration rate (eGFR) between 10 and 60ml/min were enrolled. Study subjects were categorized as non-multidisciplinary care (non-MDC) group and MDC group. Purposive sampling was randomly matched on gender, age and eGFR at a ratio of 1:1. Finally, 506 study subjects (253 pairs) were enrolled in our study. Result:The mean age was 65.2 years and 67.2% of subjects were men. There were 75.0% subjects married and 64.2% less educated. The prevalence of cardiovascular diseases was higher in non-MDC group. MDC group had higher creatinine, albumin, high-density lipoprotein cholesterol (HDL) and serum Na level; MDC group had lower HbA1C significantly (p<0.05). MDC group had higher significantly prescription rate of ACEI/ARB, phosphate binders and uric acid control agents than non-MDC group (p<0.05). During 1st year follow up, lower hospitalization day (1.26±4.70 vs. 3.38±1.89), the frequency of hospitalization (0.19±0.56 vs. 0.32±0.71) and hospitalization rate (13.04% vs. 20.95%) were noted in MDC group significantly (p<0.05). Conclusion:Among chronic kidney diseases patients, multidisciplinary care is associated with superior biochemical outcomes, better medicine therapy and fewer hospitalization utilization especially significantly benefit in high economic burden caused by end-stage renal diseases (ESRD) in Taiwan.