Peritoneal dialysis can be an option for unplanned chronic dialysis: initial results from a developing country

Detalhes bibliográficos
Autor(a) principal: Dias, Dayana Bitencourt
Data de Publicação: 2016
Outros Autores: Banin, Vanessa, Mendes, Marcela Lara, Barretti, Pasqual, Ponce, Daniela
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1007/s11255-016-1243-x
http://hdl.handle.net/11449/220563
Resumo: Aim: Starting dialysis in an unplanned manner is frequent situation in dialysis center even for patients with regular nephrology follow-up. Peritoneal dialysis (PD) appears as an option for unplanned initiation of chronic dialysis, offering the advantage of not using central venous catheters and preserving of residual renal function. Since July 2014, we have offered PD as urgent start for chronic kidney disease (CKD) patients. Methods: It was a prospective study that aimed to evaluate the mortality rate in hospitalized patients who started unplanned urgent PD in the first 90 days. It was used high-volume PD right after (<48 h) PD catheter placement, and it was kept until metabolic and fluid controls were achieved. After hospital discharge, patients were treated with intermittent PD on alternate days at the dialysis unit until family training. Results: Thirty-five patients were included from July 2014 to January 2015. Age was 57.7 ± 19.2 years, diabetes was the main etiology of CKD (40.6 %), and uremia was the main dialysis indication (54.3 %). Metabolic and fluid controls were achieved after five sessions of high-volume PD, and patients remained in intermittent PD for 23.2 ± 7.2 days receiving 11.5 ± .3.1 intermittent PD sessions. Peritonitis and mechanical complications occurred in 14.2 and 25.7 %, respectively. Mortality rate was 20 %, and technique survival was 85.7 %. The chronic PD program presented a growth of 41.1 %. Conclusion: The concept of unplanned start on chronic PD may be feasible, safe, complementary alternative to hemodialysis and a tool to increase the PD penetration rate among incident patients starting dialysis therapy.
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spelling Peritoneal dialysis can be an option for unplanned chronic dialysis: initial results from a developing countryHemodialysisPeritoneal dialysisUnplanned dialysisAim: Starting dialysis in an unplanned manner is frequent situation in dialysis center even for patients with regular nephrology follow-up. Peritoneal dialysis (PD) appears as an option for unplanned initiation of chronic dialysis, offering the advantage of not using central venous catheters and preserving of residual renal function. Since July 2014, we have offered PD as urgent start for chronic kidney disease (CKD) patients. Methods: It was a prospective study that aimed to evaluate the mortality rate in hospitalized patients who started unplanned urgent PD in the first 90 days. It was used high-volume PD right after (<48 h) PD catheter placement, and it was kept until metabolic and fluid controls were achieved. After hospital discharge, patients were treated with intermittent PD on alternate days at the dialysis unit until family training. Results: Thirty-five patients were included from July 2014 to January 2015. Age was 57.7 ± 19.2 years, diabetes was the main etiology of CKD (40.6 %), and uremia was the main dialysis indication (54.3 %). Metabolic and fluid controls were achieved after five sessions of high-volume PD, and patients remained in intermittent PD for 23.2 ± 7.2 days receiving 11.5 ± .3.1 intermittent PD sessions. Peritonitis and mechanical complications occurred in 14.2 and 25.7 %, respectively. Mortality rate was 20 %, and technique survival was 85.7 %. The chronic PD program presented a growth of 41.1 %. Conclusion: The concept of unplanned start on chronic PD may be feasible, safe, complementary alternative to hemodialysis and a tool to increase the PD penetration rate among incident patients starting dialysis therapy.Botucatu School of Medicine, Distrito de Rubião JuniorBotucatu School of MedicineDias, Dayana BitencourtBanin, VanessaMendes, Marcela LaraBarretti, PasqualPonce, Daniela2022-04-28T19:02:34Z2022-04-28T19:02:34Z2016-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article901-906http://dx.doi.org/10.1007/s11255-016-1243-xInternational Urology and Nephrology, v. 48, n. 6, p. 901-906, 2016.1573-25840301-1623http://hdl.handle.net/11449/22056310.1007/s11255-016-1243-x2-s2.0-84958775047Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengInternational Urology and Nephrologyinfo:eu-repo/semantics/openAccess2022-04-28T19:02:34Zoai:repositorio.unesp.br:11449/220563Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462022-04-28T19:02:34Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Peritoneal dialysis can be an option for unplanned chronic dialysis: initial results from a developing country
title Peritoneal dialysis can be an option for unplanned chronic dialysis: initial results from a developing country
spellingShingle Peritoneal dialysis can be an option for unplanned chronic dialysis: initial results from a developing country
Dias, Dayana Bitencourt
Hemodialysis
Peritoneal dialysis
Unplanned dialysis
title_short Peritoneal dialysis can be an option for unplanned chronic dialysis: initial results from a developing country
title_full Peritoneal dialysis can be an option for unplanned chronic dialysis: initial results from a developing country
title_fullStr Peritoneal dialysis can be an option for unplanned chronic dialysis: initial results from a developing country
title_full_unstemmed Peritoneal dialysis can be an option for unplanned chronic dialysis: initial results from a developing country
title_sort Peritoneal dialysis can be an option for unplanned chronic dialysis: initial results from a developing country
author Dias, Dayana Bitencourt
author_facet Dias, Dayana Bitencourt
Banin, Vanessa
Mendes, Marcela Lara
Barretti, Pasqual
Ponce, Daniela
author_role author
author2 Banin, Vanessa
Mendes, Marcela Lara
Barretti, Pasqual
Ponce, Daniela
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Botucatu School of Medicine
dc.contributor.author.fl_str_mv Dias, Dayana Bitencourt
Banin, Vanessa
Mendes, Marcela Lara
Barretti, Pasqual
Ponce, Daniela
dc.subject.por.fl_str_mv Hemodialysis
Peritoneal dialysis
Unplanned dialysis
topic Hemodialysis
Peritoneal dialysis
Unplanned dialysis
description Aim: Starting dialysis in an unplanned manner is frequent situation in dialysis center even for patients with regular nephrology follow-up. Peritoneal dialysis (PD) appears as an option for unplanned initiation of chronic dialysis, offering the advantage of not using central venous catheters and preserving of residual renal function. Since July 2014, we have offered PD as urgent start for chronic kidney disease (CKD) patients. Methods: It was a prospective study that aimed to evaluate the mortality rate in hospitalized patients who started unplanned urgent PD in the first 90 days. It was used high-volume PD right after (<48 h) PD catheter placement, and it was kept until metabolic and fluid controls were achieved. After hospital discharge, patients were treated with intermittent PD on alternate days at the dialysis unit until family training. Results: Thirty-five patients were included from July 2014 to January 2015. Age was 57.7 ± 19.2 years, diabetes was the main etiology of CKD (40.6 %), and uremia was the main dialysis indication (54.3 %). Metabolic and fluid controls were achieved after five sessions of high-volume PD, and patients remained in intermittent PD for 23.2 ± 7.2 days receiving 11.5 ± .3.1 intermittent PD sessions. Peritonitis and mechanical complications occurred in 14.2 and 25.7 %, respectively. Mortality rate was 20 %, and technique survival was 85.7 %. The chronic PD program presented a growth of 41.1 %. Conclusion: The concept of unplanned start on chronic PD may be feasible, safe, complementary alternative to hemodialysis and a tool to increase the PD penetration rate among incident patients starting dialysis therapy.
publishDate 2016
dc.date.none.fl_str_mv 2016-06-01
2022-04-28T19:02:34Z
2022-04-28T19:02:34Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1007/s11255-016-1243-x
International Urology and Nephrology, v. 48, n. 6, p. 901-906, 2016.
1573-2584
0301-1623
http://hdl.handle.net/11449/220563
10.1007/s11255-016-1243-x
2-s2.0-84958775047
url http://dx.doi.org/10.1007/s11255-016-1243-x
http://hdl.handle.net/11449/220563
identifier_str_mv International Urology and Nephrology, v. 48, n. 6, p. 901-906, 2016.
1573-2584
0301-1623
10.1007/s11255-016-1243-x
2-s2.0-84958775047
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv International Urology and Nephrology
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 901-906
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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