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Urgent-Start Peritoneal Dialysis: The First Year of Brazilian Experience.
Bitencourt Dias, Dayana; Mendes, Marcela Lara; Burgugi Banin, Vanessa; Barretti, Pasqual; Ponce, Daniela.
Affiliation
  • Bitencourt Dias D; São Paulo State University - UNESP, Alameda dasHortencias, Botucatu, Brazil.
Blood Purif ; 44(4): 283-287, 2017.
Article in En | MEDLINE | ID: mdl-29065404
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.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Peritoneal Dialysis / Diabetes Complications / Kidney Failure, Chronic Type of study: Observational_studies / Prognostic_studies Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: America do sul / Brasil Language: En Journal: Blood Purif Year: 2017 Document type: Article Affiliation country: Brazil Country of publication: Switzerland

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Peritoneal Dialysis / Diabetes Complications / Kidney Failure, Chronic Type of study: Observational_studies / Prognostic_studies Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: America do sul / Brasil Language: En Journal: Blood Purif Year: 2017 Document type: Article Affiliation country: Brazil Country of publication: Switzerland