Urgent-Start Peritoneal Dialysis: The First Year of Brazilian Experience
Background: This study aimed to evaluate mechanical and infectious complications associated with urgent-start peritoneal dialysis (PD) and patients and technique survival in the first 180 days. Methods: It was a prospective study that evaluated chronic patients who started unplanned PD using high-vo...
| Authors: | ; ; ; ; |
|---|---|
| Format: | Article |
| Status: | Published version |
| Publication date: | 2017 |
| Country: | Brasil |
| Institution: | UNESP |
| Repository: | Repositório Institucional da UNESP |
| Language: | English |
| OAI Identifier: | oai:repositorio.unesp.br:11449/179301 |
| Online Access: | http://dx.doi.org/10.1159/000478970 http://hdl.handle.net/11449/179301 |
| Access Level: | Open access |
| Keyword: | Acute peritoneal dialysis Unplanned peritoneal dialysis Urgent-start dialysis Urgent-start peritoneal dialysis |
| _version_ | 1878767418896023552 |
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| author | Bitencourt Dias, Dayana [UNESP] |
| author2 | Mendes, Marcela Lara [UNESP] Burgugi Banin, Vanessa [UNESP] Barretti, Pasqual [UNESP] Ponce, Daniela [UNESP] |
| author2_role | author author author author |
| author_browse | Barretti, Pasqual [UNESP] Bitencourt Dias, Dayana [UNESP] Burgugi Banin, Vanessa [UNESP] Mendes, Marcela Lara [UNESP] Ponce, Daniela [UNESP] |
| author_facet | Bitencourt Dias, Dayana [UNESP] Mendes, Marcela Lara [UNESP] Burgugi Banin, Vanessa [UNESP] Barretti, Pasqual [UNESP] Ponce, Daniela [UNESP] |
| author_role | author |
| collection | Repositório Institucional da UNESP |
| description | Background: This study aimed to evaluate mechanical and infectious complications associated with urgent-start peritoneal dialysis (PD) and patients and technique survival in the first 180 days. Methods: It was a prospective study that evaluated chronic patients who started unplanned PD using high-volume PD (HVPD) right after (<72 h) PD catheter placement. After hospital discharge, patients were treated with intermittent PD on alternate days in a dialysis unit until family training was provided. Results: Fifty-one patients fulfilling the following criteria were included: age was 62.1 ± 15 years, with diabetes as the main etiology of end-stage renal disease (39%), and uremia as the main dialysis indication (76%). Metabolic and fluid controls were achieved after 3 sessions of HVPD, and patients remained in intermittent PD for 23.2 ± 7.2 days. Mechanical complications occurred in 25.7% and peritonitis rate was 0.5 episode/patient-year. In the first 6 months, technique and patients survival rates were 86 and 82.4% respectively. Conclusion: The PD modality was a feasible and safe alternative to hemodialysis in the urgent-start dialysis. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | BR_f2bce85f67e6dbf52cbbb0f4d76fb3ff |
| institution | UNESP |
| instname_str | Universidade Estadual Paulista (UNESP) |
| language | eng |
| network_acronym_str | BR |
| network_name_str | Brasil |
| oai_identifier_str | oai:repositorio.unesp.br:11449/179301 |
| publishDate | 2017 |
| publishDateSort | 2017 |
| reponame_str | Repositório Institucional da UNESP |
| spelling | Urgent-Start Peritoneal Dialysis: The First Year of Brazilian Experience Bitencourt Dias, Dayana [UNESP] Mendes, Marcela Lara [UNESP] Burgugi Banin, Vanessa [UNESP] Barretti, Pasqual [UNESP] Ponce, Daniela [UNESP] Acute peritoneal dialysis Unplanned peritoneal dialysis Urgent-start dialysis Urgent-start peritoneal dialysis Background: This study aimed to evaluate mechanical and infectious complications associated with urgent-start peritoneal dialysis (PD) and patients and technique survival in the first 180 days. Methods: It was a prospective study that evaluated chronic patients who started unplanned PD using high-volume PD (HVPD) right after (<72 h) PD catheter placement. After hospital discharge, patients were treated with intermittent PD on alternate days in a dialysis unit until family training was provided. Results: Fifty-one patients fulfilling the following criteria were included: age was 62.1 ± 15 years, with diabetes as the main etiology of end-stage renal disease (39%), and uremia as the main dialysis indication (76%). Metabolic and fluid controls were achieved after 3 sessions of HVPD, and patients remained in intermittent PD for 23.2 ± 7.2 days. Mechanical complications occurred in 25.7% and peritonitis rate was 0.5 episode/patient-year. In the first 6 months, technique and patients survival rates were 86 and 82.4% respectively. Conclusion: The PD modality was a feasible and safe alternative to hemodialysis in the urgent-start dialysis. So Paulo State University UNESP Alameda DasHortencias http://dx.doi.org/10.1159/000478970 Blood Purification, v. 44, n. 4, p. 283-287, 2017. 1421-9735 0253-5068 http://hdl.handle.net/11449/179301 10.1159/000478970 2-s2.0-85032383957 2-s2.0-85032383957.pdf 5496411983893479 0000-0003-4979-4836 |
| spellingShingle | Urgent-Start Peritoneal Dialysis: The First Year of Brazilian Experience Bitencourt Dias, Dayana [UNESP] Acute peritoneal dialysis Unplanned peritoneal dialysis Urgent-start dialysis Urgent-start peritoneal dialysis |
| status_str | publishedVersion |
| title | Urgent-Start Peritoneal Dialysis: The First Year of Brazilian Experience |
| title_full | Urgent-Start Peritoneal Dialysis: The First Year of Brazilian Experience |
| title_fullStr | Urgent-Start Peritoneal Dialysis: The First Year of Brazilian Experience |
| title_full_unstemmed | Urgent-Start Peritoneal Dialysis: The First Year of Brazilian Experience |
| title_short | Urgent-Start Peritoneal Dialysis: The First Year of Brazilian Experience |
| title_sort | Urgent-Start Peritoneal Dialysis: The First Year of Brazilian Experience |
| topic | Acute peritoneal dialysis Unplanned peritoneal dialysis Urgent-start dialysis Urgent-start peritoneal dialysis |
| topic_facet | Acute peritoneal dialysis Unplanned peritoneal dialysis Urgent-start dialysis Urgent-start peritoneal dialysis |
| url | http://dx.doi.org/10.1159/000478970 http://hdl.handle.net/11449/179301 |