Research Article

Associates of Cardiopulmonary Arrest in the Perihemodialytic Period

Table 1

Characteristics of the primary study cohort across cases and matched controlsa.

VariableCPA patients (cases)Non-CPA patients (controls)
4,614

Matching factors
Age (years)
 Mean ± SD65.7 ± 13.265.7 ± 13.1
 Median [IQR]66.3 [58.2, 75.5]66.1 [58.0, 75.3]
 (Min, max)(24.7, 96.2)(23.3, 95.5)
Male 463 (50.1%)2309 (50.0%)
Race
 White556 (60.2%)2780 (60.3%)
 Black320 (34.6%)1595 (34.6%)
 Other48 (5.2%)239 (5.2%)
Diabetes661 (71.5)3304 (71.6%)

Other variables
Weight (kg)77.5 ± 23.179.0 ± 22.0
Body mass index (kg/m²)
 <18.551 (5.8%)141 (3.1%)
 18.6–25228 (25.9%)1301 (28.9%)
 25.1–29.9318 (36.1%)1750 (38.9%)
 ≥30284 (32.2%)1306 (29.0%)
Coronary artery disease271 (29.3%)1136 (24.6%)**
Heart failure326 (35.3%)1403 (30.4%)**
Vintageb (days)1,088 ± 1,1141,208 ± 1,205**
 <120 days207 (22.4%)483 (10.5%)
 20 days–<1 year117 (12.7%)715 (15.5%)
 1 year–<3 years215 (23.3%)1440 (31.2%)
 3 years–<5 years165 (17.9%)862 (18.7%)
 5 years or more193 (20.9%)1029 (22.3%)
 Missing27 (2.9%)85 (1.8%)
Access typec
 Catheter416 (46.2%)1560 (34.8%)****
 Fistula319 (35.4%)2010 (44.8%)
 Graft 166 (18.4%)919 (20.5%)
IDWG (kg)3.0 ± 8.72.6 ± 4.9
Percent IDWG (%)4.2 ± 10.53.5 ± 5.1**
Patients discharged from hospital within 30 days prior to CPA54 (5.8%)182 (3.9%)**
Treatment timed (minutes)
 Prescribed time226 ± 34223 ± 37*
 Delivered time218 ± 46219 ± 44
Patients with treatment time shortened > 10 minutes179 (20.2%)724 (16.1%)**
Dialysate sodium (mEq/L)137.8 ± 2.5137.8 ± 2.5
3,774
Dialysate calcium (mEq/L)
 <2.3214 (28.7%)1057 (28.0%)
 2.3–2.5513 (68.9%)2566 (68.0%)
 >2.518 (2.4%)151 (4.0%)
3,774
Dialysate potassium (mEq/L)
 131 (4.2%)126 (3.3%)
 2564 (75.7%)2883 (76.4%)
 >2150 (20.1%)765 (20.3%)
3,774
Dialysate buffere (mEq/L)
 <4192 (12.4%)455 (12.1%)
 41–45602 (80.8%)2999 (79.5%)
 >4551 (6.9%)320 (8.5%)
3,774
Dialysate bicarbonate (mEq/L)36.5 ± 1.936.4 ± 2.3
3,774
Dialysate acetate (mEq/L)6.5 ± 2.06.6 ± 2.0
3,774
ESA dose per treatment (units)11,233 ± 8,6568,562 ± 7,994****
Number of treatments10.0 ± 3.611.4 ± 2.7****
Number of missed treatments1.47 ± 2.780.87 ± 2.08****
Number of missed treatments due to hospitalization 1.21 ± 2.690.63 ± 1.91****
Number of missed treatments due to unexcused absence0.26 ± 0.870.24 ± 0.84
eKt/V1.45 ± 0.451.49 ± 0.40**
Albumin (g/dL)3.5 ± 0.53.7 ± 0.5****
Hemoglobin (g/dL)10.8 ± 1.511.4 ± 1.3****
Phosphorus (mg/dL)5.0 ± 1.75.2 ± 1.7***
Calcium (mg/dL)8.9 ± 0.89.0 ± 0.8***
Potassium (mEq/L)4.6 ± 0.8 4.7 ± 0.7****
Ferritin (ng/mL)662 ± 531676 ± 611
Bicarbonate (mEq/L)24.1 ± 3.823.8 ± 3.5*
Creatinine (mg/dL)6.5 ± 2.67.3 ± 2.8****
nPCR (g/kg/day)0.86 ± 0.310.93 ± 0.29****

; ; ; ; based on two-sample Student’s -testing or chi-square testing as dictated by data type. Values reported as means ± SD or (%) as dictated by data type.
Vintage defined as number of days from the date of first ever dialysis to the date of event (CPA). For controls, event date was assigned the same index date from the matched CPA case.
Catheter compared to fistula/graft.
Mean treatment time in the 30 days prior to CPA (excludes CPA treatment).
Dialysate buffer = dialysate bicarbonate + dialysate acetate.