Lee T, et al. - A retrospective cohort was examined to determine the effect of pre-end-stage renal disease (ESRD) acute kidney injury (AKI) events on the type of vascular access used at hemodialysis initiation (central venous catheter (CVC) vs arteriovenous access), and 1-year all-cause mortality after initiating hemodialysis in incident ESRD patients. Researchers utilized data for incident hemodialysis patients from the United States Renal Data System with linked Medicare data for at least 2 years prior to hemodialysis initiation. They found that in addition to predicting 1-year mortality, an AKI event prior to initiating hemodialysis independently increased the risk of CVC use. Dialysis outcomes in patients who progress to ESRD may be improved by improving processes of care after AKI events.