Urgent vs. early-start peritoneal dialysis: patients' profile and outcomes

Detalhes bibliográficos
Autor(a) principal: Calice-Silva,Viviane
Data de Publicação: 2021
Outros Autores: Tonial,Bruna C., Daudt,Pedro Eugênio Deboni, Ribeiro,Izabel, Ferreira,Helen C., Nerbass,Fabiana B.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal Brasileiro de Nefrologia
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100110
Resumo: ABSTRACT Introduction: Peritoneal dialysis (PD) has been considered a safe option of therapy in end-stage renal disease patients with urgent need of dialysis. Recently, it was proposed that Urgent-Start-PD (US-PD) be defined when PD starts within 72 hours after catheter placement and “early start” PD (ES-PD) when PD starts between 3 and 14 days after. We aimed to compare demographic and clinical characteristics between patients in US-PD and ES-PD as well as 30-day complications, 6-month hospitalization, and dropout rate. Methods: Adult patients starting PD within 14 days after catheter insertion (October/2016 - February/2019) were included and divided into US-PD group and ES-PD group based on the their PD initiation time. Clinical and demographic data, fill volume for the first PD session, 30-day complications, 6-month hospitalization, and dropout rate were assessed. Results: In our study, 72 patients were analyzed (US-PD=40, ES-PD=32) with mean age of 53.2±15.2 years old. No differences between US-PD and ES-PD regarding demographic characteristics, 30-day complications, 6-month hospitalization, and dropout events were found. The most frequent short-term complication in patients who started PD urgently was leakage. The most common cause of dropout was transfer to HD. Conclusion: Fifty five percent of our sample started PD less than 72 hours after catheter insertion. The lack of difference in the measured outcomes compared to patients that had therapy initiated after this period encourages the use of urgent PD when needed.
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spelling Urgent vs. early-start peritoneal dialysis: patients' profile and outcomesPeritoneal DialysisKidney Failure, ChronicRenal Replacement TherapyABSTRACT Introduction: Peritoneal dialysis (PD) has been considered a safe option of therapy in end-stage renal disease patients with urgent need of dialysis. Recently, it was proposed that Urgent-Start-PD (US-PD) be defined when PD starts within 72 hours after catheter placement and “early start” PD (ES-PD) when PD starts between 3 and 14 days after. We aimed to compare demographic and clinical characteristics between patients in US-PD and ES-PD as well as 30-day complications, 6-month hospitalization, and dropout rate. Methods: Adult patients starting PD within 14 days after catheter insertion (October/2016 - February/2019) were included and divided into US-PD group and ES-PD group based on the their PD initiation time. Clinical and demographic data, fill volume for the first PD session, 30-day complications, 6-month hospitalization, and dropout rate were assessed. Results: In our study, 72 patients were analyzed (US-PD=40, ES-PD=32) with mean age of 53.2±15.2 years old. No differences between US-PD and ES-PD regarding demographic characteristics, 30-day complications, 6-month hospitalization, and dropout events were found. The most frequent short-term complication in patients who started PD urgently was leakage. The most common cause of dropout was transfer to HD. Conclusion: Fifty five percent of our sample started PD less than 72 hours after catheter insertion. The lack of difference in the measured outcomes compared to patients that had therapy initiated after this period encourages the use of urgent PD when needed.Sociedade Brasileira de Nefrologia2021-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100110Brazilian Journal of Nephrology v.43 n.1 2021reponame:Jornal Brasileiro de Nefrologiainstname:Sociedade Brasileira de Nefrologia (SBN)instacron:SBN10.1590/2175-8239-jbn-2020-0011info:eu-repo/semantics/openAccessCalice-Silva,VivianeTonial,Bruna C.Daudt,Pedro Eugênio DeboniRibeiro,IzabelFerreira,Helen C.Nerbass,Fabiana B.eng2021-05-10T00:00:00Zoai:scielo:S0101-28002021000100110Revistahttp://www.bjn.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||jbn@sbn.org.br2175-82390101-2800opendoar:2021-05-10T00:00Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)false
dc.title.none.fl_str_mv Urgent vs. early-start peritoneal dialysis: patients' profile and outcomes
title Urgent vs. early-start peritoneal dialysis: patients' profile and outcomes
spellingShingle Urgent vs. early-start peritoneal dialysis: patients' profile and outcomes
Calice-Silva,Viviane
Peritoneal Dialysis
Kidney Failure, Chronic
Renal Replacement Therapy
title_short Urgent vs. early-start peritoneal dialysis: patients' profile and outcomes
title_full Urgent vs. early-start peritoneal dialysis: patients' profile and outcomes
title_fullStr Urgent vs. early-start peritoneal dialysis: patients' profile and outcomes
title_full_unstemmed Urgent vs. early-start peritoneal dialysis: patients' profile and outcomes
title_sort Urgent vs. early-start peritoneal dialysis: patients' profile and outcomes
author Calice-Silva,Viviane
author_facet Calice-Silva,Viviane
Tonial,Bruna C.
Daudt,Pedro Eugênio Deboni
Ribeiro,Izabel
Ferreira,Helen C.
Nerbass,Fabiana B.
author_role author
author2 Tonial,Bruna C.
Daudt,Pedro Eugênio Deboni
Ribeiro,Izabel
Ferreira,Helen C.
Nerbass,Fabiana B.
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Calice-Silva,Viviane
Tonial,Bruna C.
Daudt,Pedro Eugênio Deboni
Ribeiro,Izabel
Ferreira,Helen C.
Nerbass,Fabiana B.
dc.subject.por.fl_str_mv Peritoneal Dialysis
Kidney Failure, Chronic
Renal Replacement Therapy
topic Peritoneal Dialysis
Kidney Failure, Chronic
Renal Replacement Therapy
description ABSTRACT Introduction: Peritoneal dialysis (PD) has been considered a safe option of therapy in end-stage renal disease patients with urgent need of dialysis. Recently, it was proposed that Urgent-Start-PD (US-PD) be defined when PD starts within 72 hours after catheter placement and “early start” PD (ES-PD) when PD starts between 3 and 14 days after. We aimed to compare demographic and clinical characteristics between patients in US-PD and ES-PD as well as 30-day complications, 6-month hospitalization, and dropout rate. Methods: Adult patients starting PD within 14 days after catheter insertion (October/2016 - February/2019) were included and divided into US-PD group and ES-PD group based on the their PD initiation time. Clinical and demographic data, fill volume for the first PD session, 30-day complications, 6-month hospitalization, and dropout rate were assessed. Results: In our study, 72 patients were analyzed (US-PD=40, ES-PD=32) with mean age of 53.2±15.2 years old. No differences between US-PD and ES-PD regarding demographic characteristics, 30-day complications, 6-month hospitalization, and dropout events were found. The most frequent short-term complication in patients who started PD urgently was leakage. The most common cause of dropout was transfer to HD. Conclusion: Fifty five percent of our sample started PD less than 72 hours after catheter insertion. The lack of difference in the measured outcomes compared to patients that had therapy initiated after this period encourages the use of urgent PD when needed.
publishDate 2021
dc.date.none.fl_str_mv 2021-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/2175-8239-jbn-2020-0011
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Nefrologia
publisher.none.fl_str_mv Sociedade Brasileira de Nefrologia
dc.source.none.fl_str_mv Brazilian Journal of Nephrology v.43 n.1 2021
reponame:Jornal Brasileiro de Nefrologia
instname:Sociedade Brasileira de Nefrologia (SBN)
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instname_str Sociedade Brasileira de Nefrologia (SBN)
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reponame_str Jornal Brasileiro de Nefrologia
collection Jornal Brasileiro de Nefrologia
repository.name.fl_str_mv Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)
repository.mail.fl_str_mv ||jbn@sbn.org.br
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