Research Article

Chronic Kidney Disease: Evolution of Healthcare Costs and Resource Consumption from Predialysis to Dialysis in Piedmont Region, Italy

Table 3

Main causes of hospitalizations in the different populations.

Major diagnosisHospitalizations
Total number of admissions ()% on total admissionsTotal days of stayAverage cost per hospitalization (€)

PreD population
End stage renal disease35520.66,6694,931
Chronic kidney disease, Stage V23413.62,9504,412
Chronic kidney disease, Stage IV (severe)935.41,6923,304
Fitting and adjustment of extracorporeal dialysis catheter814.71724,523
Congestive heart failure, unspecified291.75294,160
Left hearth failure231.34296,223
Subendocardial infarction, initial episode of care201.23045,434
Acute respiratory failure191.144918,119
Fitting and adjustment of peritoneal dialysis catheter171.01325,687
Malignant neoplasm of kidney, except pelvis160.92125,364
Chronic kidney disease, Stage III (moderate)160.92352,999

HD population
End stage renal disease67712.67,0867,471
Other complications due to renal dialysis device, implant, and graft4137.71,7264,069
Fitting and adjustment of extracorporeal dialysis catheter2394.56012,531
Mechanical complication of other vascular device, implant, and graft1943.66535,340
Arterial embolism and thrombosis of upper extremity1072.04556,224
Subendocardial infarction, initial episode of care911.77786,480
Atherosclerosis of native arteries of the extremities with ulceration891.71,0775,940
Atherosclerosis of native arteries of the extremities with gangrene751.41,1936,980
Senile cataract, unspecified731.41011,069
Fitting and adjustment of vascular catheter641.2208806

PD population
End stage renal disease8621.21,3029,237
Peritonitis (acute), generalized215.22111,885
Unspecified peritonitis194.71762,916
Anemia in chronic kidney disease112.73481,345
Other and unspecified angina pectoris102.5322,458
Umbilical hernia without mention of obstruction or gangrene61.5112,720
Infection and inflammatory reaction due to peritoneal dialysis catheter61.5853,280
Other complications due to renal dialysis device, implant, and graft61.5263,495
Encounter for antineoplastic chemotherapy61.55564,240

PreD: patients incident-to-dialysis observed for the 12 months preceding dialysis entrance; HD: haemodialysis; PD: peritoneal dialysis.