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Renal Units in Ireland What do they do……………….?

Renal Units in Ireland What do they do……………….?. IKA AGM Dublin July 2014. Cardiac-Renal Centre Cork University Hospital. Renal Services in 6 Hospital Groups (*/^ – shared access contracted Units; [] planned Units). Programmes in SW Renal Unit. ESKD Programme General Nephrology Programme

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Renal Units in Ireland What do they do……………….?

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  1. Renal Units in IrelandWhat do they do……………….? IKA AGM Dublin July 2014

  2. Cardiac-Renal Centre Cork University Hospital

  3. Renal Services in 6 Hospital Groups(*/^ – shared access contracted Units; [] planned Units)

  4. Programmes in SW Renal Unit • ESKD Programme • General Nephrology Programme • Acute & Consultative Programme • Special Populations Programme

  5. Patients with Kidney Disease • ESKD 0.09% of population (4000) • CKD 21.5% of those >45y • AKI 20% of hospitalised patients

  6. Clin J Am Soc Nephrol. 2013 Sep;8(9):1482-93.World incidence of AKI: a meta-analysis. 2004-12 154 studies 3,585,911 KDIGO definition of AKI • Adults: 21.6 (19.3,24.1) % • Children 33.7 (26.9,41.3) % AKI-affected Mortality • Adults: 23.9 (22.1,25.7) % • Children 13.8 (8.8,21.0) %

  7. Work in progress at CUH(Plant SF, Clarkson MR) August 2013 71 Cases present to ED with AKI • Age (median, IQR) 74 (65,84) years • ACKD 34% • Renal Consult 9%

  8. 564 ESKD Patients in SW

  9. Summary Activity 2013 • ESKD 22,150 HD Day Cases 6,400 Satellite HD Day Cases 12,050 Home PD Treatments 2,700 Home HD Treatments 2,100 TX OPD Visits • CKD 3,600 OPD Visits • AKI 1,000 Consultations

  10. Common Partners Common Regular General Surgery General Medicine Rheumatology Oncology Infectious Diseases Dermatology Geriatric Medicine Palliative Medicine • Intensive Care • Cardiology • Vascular Surgery • Cardiothoracic • Haematology • Urology • Obstetrics • Diabetes Care

  11. ESKD Patients in Ireland

  12. Prevalent ESKD patients (n) 3960 patients 39.3% HD 6.2% PD/HHD 54.5% TX 862 p.m.p. 339 HD 54 PD/HHD 469 TX

  13. Incident adult ESKD patients (n) 405 patients 81% HD 14% PD 5% TX 88 p.m.p.

  14. ESKD Patients 31/12/13(total patients under governance of 6 Hospital Groups)

  15. ESKD Patients 31/12/13(total patients under governance of 11 Parent Units)

  16. HD Patients 31/12/13(HD patients per facility/PD and HHD also illustrated)

  17. Staffing (Consultants) • 11 per 1000 ESKD patients • 0.06 per 1000 CKD patients

  18. Renal Units in IrelandWhat do they do……………….? IKA AGM Dublin July 2014

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