Aronow, Wilbert S

Chugh, Savneek

Cooper, Howard A

Solangi, Zeeshan

Sule, Sachin

Yandrapalli, Srikanth

English

The Touro College and University System

Touro Scholar NYMC Faculty Posters Faculty Winter 3-3-2017 Prevalence and In-Hospital Outcomes of Uremic and Dialysis Pericarditis: A United States National Study Srikanth Yandrapalli Zeeshan Solangi New York Medical College, zeeshan_solangi@nymc.edu Wilbert S. Aronow New York Medical College Sachin Sule New York Medical College Howard A. Cooper New York Medical College See next page for additional authors Follow this and additional works at: https://touroscholar.touro.edu/nymc_fac_posters  Part of the Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons Recommended Citation Yandrapalli, S., Solangi, Z., Aronow, W. S., Sule, S., Cooper, H. A., & Chugh, S. (2017). Prevalence and In-Hospital Outcomes of Uremic and Dialysis Pericarditis: A United States National Study. Retrieved from https://touroscholar.touro.edu/nymc_fac_posters/32 This Poster is brought to you for free and open access by the Faculty at Touro Scholar. It has been accepted for inclusion in NYMC Faculty Posters by an authorized administrator of Touro Scholar.For more information, please contact touro.scholar@touro.edu. Authors Srikanth Yandrapalli, Zeeshan Solangi, Wilbert S. Aronow, Sachin Sule, Howard A. Cooper, and Savneek Chugh This poster is available at Touro Scholar: https://touroscholar.touro.edu/nymc_fac_posters/32       Prevalence and In-hospital outcomes of Uremic and Dialysis Pericarditis: A United States National Study Srikanth Yandrapalli, Gabriela Andries, Viswajit Reddy Anugu, Zeeshan Solangi, Sohaib Tariq, Pratik Mondal, Venkat Vuddanda, Wilbert S. Aronow, Sachin Sule, Howard A. Cooper, Savneek Chugh.  New York Medical College at Westchester Medical Center, Valhalla, New York.   Results Conclusion Methods  Background   • In the modern dialysis era, uremic and dialysis pericarditis (UDP) are less frequently encountered in clinical practice.  • We sought to determine the secular variation and in-hospital outcomes of UDP.  • Using the U.S. Nationwide Inpatient Sample databases 2003 through 2012, we pooled a weighted sample of patients with UDP by identifying hospitalizations in patients ≥ 18 years of age, with a primary or secondary diagnoses of acute pericarditis (ICD-9 code 420.0) and renal dysfunction (acute kidney injury (AKI), end stage renal disease (ESRD), and uremia).  • Hospitalizations with a primary or secondary diagnoses for other types of pericarditis, including bacterial, fungal, protozoal, rheumatic, and viral, were excluded.   • Associated type of renal dysfunction, type of dialysis modality, pericardial procedures, and outcomes were then analyzed. Results • A total of 13,003 hospitalizations (mean patient age 55 ± 18 years, 41.4% female) were identified with diagnoses suggestive of UDP.  • From 2003 to 2012, the prevalence of UDP increased from 13.5 to 47.1 per 1 million hospitalizations (Ptrend<0.005).   • ESRD was present in 8,852 (68.1%) of these cases, followed by AKI in 4,925 (37.9%) cases.  • A total of 9,650 (74.2%) cases received hemodialysis and 492 (3.8%) received peritoneal dialysis during the hospitalization. • All-cause inpatient mortality was 6.4%, a decreasing trend from 17.03% in 2003 to 4.43% in 2012 (Ptrend<0.005). • Median length of stay was 7 days, and median total hospital charges were US$ 48,673. • Between 2003 and 2012, the prevalence of UDP among all hospitalizations in the United States increased, while the in-hospital mortality rate decreased. • Pericardial procedures were common in UDP patients, with almost one-sixth of the cases having a pericardial procedure. • None of the authors have any relevant disclosures. Disclosures Presented at ACC Scientific Sessions 03/2017, Washington D.C • Pericardial procedures were performed in 16.8% of cases, including pericardiocentesis (9.5%), pericardiotomy (8.6%), pericardial biopsy (2.3%), and pericardiectomy (0.7%).   • Procedure rates were similar for patients with and without ESRD.    2003 2012   Prevalence of UDP (per 1 million hospitalizations) 13.5 47.1 P< 0.005   All-cause inpatient mortality  17.03%  4.43%   P< 0.005 

Prevalence and In-Hospital Outcomes of Uremic and Dialysis Pericarditis: A United States National Study

https://touroscholar.touro.edu/cgi/viewcontent.cgi?article=1021&context=nymc_fac_posters

Prevalence and In-Hospital Outcomes of Uremic and Dialysis Pericarditis: A United States National Study

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