Poor hemodialysis outcome: Identifying social risk factors in elderly and non-elderly patients in singapore

Abstract

Little is known about the social determinants that predispose hemodialysis patients to poor treatment outcome. Using a clinical data mining method, this study aims to identify differences in social risk factors for hospitalization between elderly and non-elderly patients. The sample consists of 100 elderly and 219 non-elderly patients who started hemodialysis at the National Kidney Foundation from October 2007 to September 2008 and were followed through up to one year of hemodialysis to examine their hospitalization status then. Bivariate analysis revealed differences in the risk profiles between the two groups. The study has implications for funding policy and also draws attention to how clinical interventions ought to be tailored between the two age groups.