Subject(s)
Kidney Failure, Chronic/therapy , Peritoneal Dialysis, Continuous Ambulatory , Female , Hospitals, Community , Humans , Male , Middle Aged , Patient Care Team , Patient Dropouts , Patient Education as Topic , Peritoneal Dialysis, Continuous Ambulatory/adverse effects , Peritoneal Dialysis, Continuous Ambulatory/rehabilitation , Peritonitis/etiology , Puerto Rico , Retrospective StudiesABSTRACT
Se compararon las modificaciones bioquímicas y el comportamiento clínico de cinco pacientes sometidos a diálisis peritoneal ambulatoria contínua que recibieron hemodiálisis periódica entre mayo 1979 a 1985. Se encontraron mejor control de a anemia, uremia, acidosis metabólica y tensión arterial en pacientes que recibierón diálisis peritoneal ambulatoria contínua. El crecimiento fué significativamente superior porque hubo mejor ingesta de nutrientes, en comparación con pacientes en hemodiálisis. Se presentaron menos complicaciones con dialisis peritoneal, y el costo del mismo fué 124.886,25 Bs. pacientes -año y el de de hemodiálisis 250.894,25 Bs. pacientes-año. Concluimos que este procedimiento dialítico es una alternativa importante al sistema de hemodiálisis, en pacientes pediatricos
Subject(s)
Child, Preschool , Child , Adolescent , Humans , Male , Female , Renal Insufficiency, Chronic/therapy , Peritoneal Dialysis, Continuous Ambulatory/rehabilitation , Peritoneal Dialysis/rehabilitation , Renal Dialysis/methods , Uremia/therapySubject(s)
Kidney Diseases/rehabilitation , Kidney Transplantation , Renal Dialysis/rehabilitation , Hospitalization , Humans , Infections/etiology , Kidney Diseases/complications , Kidney Diseases/therapy , Peritoneal Dialysis, Continuous Ambulatory/adverse effects , Peritoneal Dialysis, Continuous Ambulatory/rehabilitation , Postoperative Complications , Quality of Life , Renal Dialysis/adverse effectsABSTRACT
Seven children aged from 6 weeks to 14 years were treated for end-stage renal disease by continuous ambulatory peritoneal dialysis (CAPD) for 60 patient months. Satisfactory control of their uremia was achieved. Peritonitis was diagnosed on seven occasions (one case per 8.6 patient months) and did not interfere with continuation of dialysis or decrease peritoneal membrane permeability. Patients older than 5 years grew at rates comparable with those of patients receiving hemodialysis. Two infants receiving CAPD exhibited normal growth rates. Families demonstrated good psychosocial adjustment to the technique. Thus, CAPD seems to be a satisfactory alternative to hemodialysis for long-term therapy .
