Research Article

Associates of Cardiopulmonary Arrest in the Perihemodialytic Period

Table 4

Characteristics of the secondary study cohort across cases and matched control-1s and control-2sa.

VariablePatients with CPA in 2010Patients without CPA who
survived 2010died in 2010
(cases)(control-1s)(controls-2s)
1,798 1,778

Matching factors
Age (years)
 Mean ± SD66.1 ± 12.766.0 ± 12.566.2 ± 12.5
 Median [IQR]66.4 [58.5, 75.5]66.2 [58.5, 75.4]66.4 [58.5, 75.5]
 (Min, max)(27.4, 96.2)(24.5, 94.1)(24.5, 94.6)
Male 456 (50.7%)912 (50.7%)901 (50.7%)
Race
 White550 (61.2%)1100 (61.2%)1095 (61.6%)
 Black306 (34.0%)612 (34.0%)602 (33.9%)
 Other43 (4.8%)86 (4.8%)81 (4.6%)
Diabetes649 (72.2%)1298 (72.2%)1284 (72.2%)

Other variables
Weight (kg)78.8 ± 23.081.2 ± 22.4***76.8 ± 23.0
Body mass index (kg/m²)
 <18.547 (5.4%)32 (1.8%)****95 (5.5%)
 18.6–25240 (27.4%)554 (31.4%)461 (26.6%)
 25.1–29.9315 (36%)763 (43.2%)607 (35.0%)
 ≥30273 (31.2%)416 (23.6%)570 (32.9%)
Coronary artery disease268 (29.8%)422 (23.5%)***495 (27.8%)
Heart failure317 (35.3%)464 (25.8%)****623 (35.0%)
Vintageb (days)1097 ± 11211136 ± 11361249 ± 1299**
Access typec
 Catheter404 (46.1%)513 (29.5%)****40.7%*
 Fistula312 (35.6%)872 (50.1%)39.00%
 Graft 161 (18.4%)356 (20.5%)20.30%
IDWG (kg)2.5 ± 1.32.5 ± 1.12.5 ± 1.3
Percent IDWG (%)3.2 ± 1.63.2 ± 1.33.3 ± 1.6*
Patients discharged from hospital within 30 days prior to CPA54 (6.0%)47 (2.6%)****115 (6.5%)
Treatment timed (minutes)
 Prescribed time226 ± 34222 ± 37**224 ± 38
 Delivered time218 ± 44219 ± 43217 ± 44
 Time shortened12 ± 327 ± 24****11 ± 30
Patients with treatment time shortened > 10 minutes174 (20.2%)242 (13.8%)****338 (19.6%)
Dialysate sodium (mEq/L)137.8 ± 2.5137.8 ± 2.2137.9 ± 2.9
1,477 1,480
Dialysate calcium (mEq/L)
 <2.3206 (28.4%)408 (27.6%)396 (26.8%)
 2.3–2.5501 (69.1%)1022 (69.2%)1015 (68.6%)
 >2.518 (2.5%)47 (3.2%)69 (4.7%)
1,477 1,480
Dialysate potassium (mEq/L)
 129 (4.0%)38 (2.6%)49 (3.3%)
 2550 (75.9%)1148 (77.7%)1103 (74.5%)
 >2146 (20.1%)291 (19.7%)328 (22.2%)
1,477 1,480
Dialysate buffere (mEq/L)
 <4188 (12.1%)174 (11.8%)198 (13.4%)
 41–45587 (81.0%)1204 (81.5%)1174 (79.3%)
 >4550 (6.9%)99 (6.7%)108 (7.3%)
1,477 1,480
ESA dose per treatment (units)9,313 ± 7,7136,033 ± 6,374****9,934 ± 8,630
Number of treatments10.6 ± 3.912.3 ± 2.2****11.0 ± 3.5**
Number of missed treatments1.5 ± 2.80.56 ± 1.5****1.5 ± 2.9
Number of missed treatments due to hospitalization 1.2 ± 2.70.37 ± 1.4****1.1 ± 2.8
Number of missed treatments due to unexcused absence0.25 ± 0.860.19 ± 0.65*0.34 ± 0.99*
eKt/V1.44 ± 0.31.49 ± 0.3**1.46 ± 0.8
Albumin (g/dL)3.5 ± 0.63.8 ± 0.4****3.5 ± 0.5
Hemoglobin (g/dL)10.8 ± 1.511.5 ± 1.2****11.1 ± 1.5****
Phosphorus (mg/dL)5.0 ± 1.75.2 ± 1.6**5.15 ± 1.8
Calcium (mg/dL)8.9 ± 0.89.0 ± 0.7****8.8 ± 0.8
Potassium (mEq/L)4.6 ± 0.84.8 ± 0.7****4.7 ± 0.8***
Ferritin (ng/mL)660 ± 533662 ± 423729 ± 803*
Bicarbonate (mEq/L)24.1 ± 3.823.8 ± 3.4*23.9 ± 3.6
Creatinine (mg/dL)6.5 ± 2.67.7 ± 2.8****6.8 ± 2.6**
nPCR (g/kg/day)0.86 ± 0.300.96 ± 0.28****0.89 ± 0.52

; ; ; ; 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.