About Careers MedBlog Contact us
Medindia LOGIN REGISTER
Advertisement

Psychiatric Illnesses May Up Early Death Risk in Adults and Children with Kidney Failure

by Hannah Joy on August 23, 2019 at 11:08 AM
Font : A-A+

Psychiatric Illnesses May Up Early Death Risk in Adults and Children with Kidney Failure

Psychiatric illnesses are common in children and adults with kidney failure. Hospitalization of such patients can cause early death, reveals a new study.

The findings, which appear in an upcoming issue of CJASN, suggest that clinicians who care for hospitalized patients with kidney failure should be aware of and prepared to manage psychiatric disorders.

Advertisement


Studies suggest that conditions such as depression and anxiety are common in children and adults with kidney failure, but the extent is unknown. To investigate, Paul Kimmel, MD (National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health) and his colleagues examined hospitalizations with psychiatric diagnoses using inpatient claims from the first year of kidney failure in U.S. adults and children who initiated dialysis treatment from 1996-2013.

"We wished to extend observations made more than 20 years ago regarding the prevalence of psychiatric disorders to the present, and expand our evaluations to assess the links between psychiatric illness and subsequent morbidity and mortality in patients with kidney failure," said Dr. Kimmel.
Advertisement

Between 1996 and 2013, approximately 27% of adults (aged 22 to 64) and 21% of elderly adults (aged 65 and up) had hospitalizations with psychiatric diagnoses in the first year of kidney failure. The prevalence was slightly lower in children, at 16%.

Approximately 2% of adults and 1% of children were hospitalized with a primary psychiatric diagnosis. The most common primary psychiatric diagnoses were depression/affective disorder in adults and children, and organic mental disorders/dementias in elderly adults.

The prevalence of hospitalizations with psychiatric diagnoses increased over time across age groups. The rate of hospitalizations with psychiatric diagnoses increased from 9% in 1996--1998 to 26% in 2011-2013 for children, from 19% to 40% for adults, and from 17% to 39% in elderly adults. The increases in prevalence rates were mostly from secondary diagnoses. A total of 19% of elderly adults, 25% of adults, and 15% of children were hospitalized with a secondary psychiatric diagnosis.

Compared with hospitalizations without psychiatric diagnoses, hospitalizations with primary or secondary psychiatric diagnoses were associated with 29% and 11% higher risks of death, respectively, during the study period for adults.

"Clinicians need to be aware of these findings and be prepared to address the needs of their patients. Hopefully, attention to the psychosocial needs of dialysis patients will result in improved outcomes, but such notions need to be tested in well-designed randomized controlled trials," said Dr. Kimmel. "This is also an important study because it assessed the prevalence and some implications of psychiatric illness in the pediatric kidney failure population in a large comprehensive registry--something that has not been evaluated before."

An accompanying editorial notes that the study underscores the substantial growing burden of psychiatric illness among patients with kidney failure. "To achieve meaningful progress for this high-risk population, it will be necessary to improve the understanding of the causes of psychiatric illness, the engagement of health professionals with psychiatric expertise, and the implementation of effective treatment strategies that are acceptable to patients," the authors wrote.

An accompanying Patient Voice editorial stresses the need for empathy by medical professionals as patients deal with life-or-death illnesses that can cause confusion and fear.



Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
What's New on Medindia
Test  Your Knowledge on Heart
Test Your Knowlege on Genes
Obesity in Teens Make Inroads into Early Atrial Fibrillation
View all
Recommended Reading
News Archive
Date
Category
Advertisement
News Category

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Acute Renal Failure Height and Weight-Kids Urinary Stones In Children Vesico-Ureteric Reflux Causing UTI in Children Hydronephrosis / Antenatal Counseling Kidney Disease Death Facts Kidney Bereavement Kidney Health 

Most Popular on Medindia

Indian Medical Journals Calculate Ideal Weight for Infants Pregnancy Confirmation Calculator A-Z Drug Brands in India Blood - Sugar Chart Blood Donation - Recipients Loram (2 mg) (Lorazepam) Color Blindness Calculator Turmeric Powder - Health Benefits, Uses & Side Effects Daily Calorie Requirements
This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use
×

Psychiatric Illnesses May Up Early Death Risk in Adults and Children with Kidney Failure Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests