Differences in Postoperative Disposition by Kidney Disease Severity: A Population-Based Cohort Study
People with kidney disease have surgery more frequently, with worse outcomes, compared with others in the general population. However, little is known about how long they spend in hospital afterward and whether they will be discharged home or to other facilities. To understand this more, we examined nearly 1 million surgeries performed in Alberta, Canada. Compared with people who have normal kidney function and are undergoing surgery, people with the most advanced kidney disease spent more than 2 times longer in hospital and were more likely to be discharged to long-term care facilities instead of being discharged to their homes. Future research is needed to understand the factors that predict who will experience prolonged hospitalization and to develop interventions to enable earlier discharge for people with kidney disease.
Authors
- Tayler Scory (ORCID: https://orcid.org/0000-0002-7663-8436)
- Ngan N. Lam (ORCID: https://orcid.org/0000-0002-0129-7091)
- Oluwatomilayo Daodu (ORCID: https://orcid.org/0000-0003-0478-1599)
- Mary Brindle (ORCID: https://orcid.org/0000-0003-3695-3447)
- Paul E. Ronksley (ORCID: https://orcid.org/0000-0002-3958-7561)
- Matthew Thomas James (ORCID: https://orcid.org/0000-0002-1876-3917)
- Khara M. Sauro (ORCID: https://orcid.org/0000-0002-7658-4351)
- Pavel S Roshanov (ORCID: https://orcid.org/0000-0003-3908-1955)
- Michelle M. Graham (ORCID: https://orcid.org/0000-0003-0708-7957)
- Brenda R. Hemmelgarn (ORCID: https://orcid.org/0000-0001-6818-4385)
- Tyrone G. Harrison (ORCID: https://orcid.org/0000-0003-1068-8673)
Institutions
- Western University (CA)
- University of Alberta (CA)
- University of Calgary (CA)
- O'Brien Institute (AU)
- Libin Cardiovascular Institute of Alberta (CA)
Publication Details
- Journal
- American Journal of Kidney Diseases
- Published
- 2025-01-23
- DOI
- https://doi.org/10.1053/j.ajkd.2024.11.014
- Citations
- 2
- Primary Topic
- Cardiac, Anesthesia and Surgical Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 2.78
Funders
- Kidney Foundation of Canada