BACKGROUND: Recent policy clarifications by the Centers for Medicare _ Medicaid Services have changed access to outpatient dialysis care at @entity454 ( @entity454 ) facilities for individuals with @entity810 in the United States. Tools to predict " @entity454 " and "acute" status in terms of kidney function recovery among @entity1 who previously initiated dialysis therapy in the hospital could help inform @entity1 management decisions. STUDY DESIGN: Historical cohort study. SETTING _ @entity1 : Incident hemodialysis @entity1 in the Mayo Clinic Health System who initiated in-hospital renal replacement therapy (RRT) and continued outpatient dialysis following hospital dismissal (2006 through 2009). PREDICTOR: Baseline estimated glomerular filtration rate (eGFR), @entity4295 from @entity295 or surgery, @entity712 , intensive care unit, and dialysis access. OUTCOMES: Kidney function recovery defined as sufficient kidney function for outpatient hemodialysis therapy discontinuation. RESULTS: Cohort consisted of 281 @entity1 with a mean age of 64 years, 63% @entity1 , 45% with @entity712 , and baseline eGFR>= 30mL/ @entity1009 .73m(2) in 46%. During a median of 8 months, 52 (19%) recovered, most (94%) within 6 months. Higher baseline eGFR ( @entity712 per 10-mL/ @entity1009 .73m(2) increase eGFR, 1.27; 95% CI,  1.16-1.39; P<0.001), @entity4295 from @entity295 or surgery ( @entity712 , 3.34; 95% CI, 1.83-6.24; P<0.001), and @entity712 ( @entity712 , 0.40; 95% CI, 0.19-0.78, P=0.007) were independent predictors of recovery within 6 months, whereas first RRT in the intensive care unit and catheter dialysis access were not.  There was a positive interaction between absence of @entity712 and eGFR>= 30mL/ @entity1009 .73m(2) for predicting kidney function recovery (P<0.001). LIMITATIONS: Sample size. CONCLUSIONS: Kidney function recovery in the outpatient hemodialysis unit following in-hospital RRT initiation is not rare. As expected, higher baseline eGFR is an important determinant of recovery. However, @entity1 with @entity712 are less likely to recover even with a higher baseline eGFR. Consideration of  these factors at hospital discharge informs decisions on @entity454 status designation and long-term hemodialysis care.

Predictors of outpatient kidney function recovery among XXXX who initiate hemodialysis in the hospital.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PARTICIPANTS', 'men'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity712 :: ('MESH:D006333', 'Disease') :: ['HR', 'heart failure'] @entity4295 :: ('MESH:D007683', 'Disease') :: ['acute tubular necrosis'] @entity1009 :: ('966', 'Gene') :: ['min/1'] @entity810 :: ('MESH:D058186', 'Disease') :: ['acute kidney injury'] @entity454 :: ('MESH:D007676', 'Disease') :: ['end-stage renal disease', 'ESRD']
@entity1 :: (9606,Species) :: ['patients']
