Automated peritoneal dialysis in urgent-start dialysis ESRD patients: Safety and dialysis adequacy

被引：3
|
作者：
Jin, Haijiao [1 ,2 ]
Lv, Shifan [1 ,2 ]
Wang, Ling [1 ,2 ]
Zhang, Minfang [1 ,2 ]
Wang, Qin [1 ,2 ]
Fang, Wei [1 ,2 ]
Lin, Xinghui [1 ,2 ]
Che, Xiajing [1 ,2 ]
Yan, Hao [1 ,2 ]
Yu, Zanzhe [1 ,2 ]
Jiang, Na [1 ,2 ]
Li, Zhenyuan [1 ,2 ]
Che, Miaoling [1 ,2 ]
Ding, Li [1 ,2 ]
Huang, Jiaying [1 ,2 ]
Zhou, Yin [1 ,2 ]
Ni, Zhaohui [1 ,2 ]
机构：
[1] Shanghai Jiao Tong Univ, Renji Hosp, Dept Nephrol, Sch Med, Shanghai 200127, Peoples R China
[2] Shanghai Jiao Tong Univ, Clin Res Ctr, Sch Med, Shanghai, Peoples R China
来源：
THERAPEUTIC APHERESIS AND DIALYSIS | 2023年 / 27卷 / 03期
关键词：
automated peritoneal dialysis; dialysis adequacy; end-stage renal disease; urgent-start peritoneal dialysis; STAGE RENAL-DISEASE; BREAK-IN PERIOD; CONTROLLED-TRIAL; OUTCOMES; FEASIBILITY;
D O I：
10.1111/1744-9987.13943
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Background Recent evidence suggests that automated peritoneal dialysis (APD) might be a feasible alternative to hemodialysis (HD) in urgent-start peritoneal dialysis. Methods This prospective study enrolled end-stage renal disease (ESRD) patients who had started APD as an urgent-start dialysis modality at a single center. Dialysis-related complications were recorded. Dialysis adequacy and electrolytes imbalance were compared between baseline, 14 and 42 days after catheter insertion. Technique survival and patient survival were also recorded. Results A total of 36 patients were included in the study. Mean follow-up duration was 22 months. During the follow-up, 11 PD patients (30.6%) developed dialysis-related complications. Only two patients (5.6%) required re-insertion and one patients (2.8%) transfer to HD. The 2-year technique survival rate and patient survival rate were 94.4% and 97.2%, respectively. Conclusion In considering safety and dialysis adequacy, APD could be a feasible dialysis modality for urgent-start dialysis in ESRD patients, using a standard procedure.
引用
收藏
页码：464 / 470
页数：7
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