A Comparison between Intermittent Peritoneal Dialysis and Automatic Peritoneal Dialysis on Urgent Peritoneal Dialysis

American Journal of Nephrology
Chang WangYinghong Liu

Abstract

Urgent-start dialysis is a major problem for incident dialysis population. Urgent start on hemodialysis is associated with an increased risk of infectious or mechanical complications, and its mortality is equal to or higher than that of urgent start on peritoneal dialysis (PD). However, compared to patients starting PD in a planned setting, those on urgent-started PD have an increased risk of mechanical complications and lower technique survival. In this study, 101 adult incident dialysis patients (≥18 years old) who underwent Tenckhoff catheter implantation were enrolled. All of the patients were grouped according to the urgent PD mode: the intermittent PD (IPD) or automatic PD (APD) group, and patients were followed for 1 year. The paired or independent t test was used to analyze the change of laboratory variables. Pearson chi-square test was applied to compare the short outcome between the 2 groups. When PD was treated for 7 days and 1 month, the APD group has the lower serum potassium and phosphorus levels than the IPD group. The incidence of catheter dysfunction was significantly lower in the APD group. The morbidity of infection associated with PD in the first year was lower in the APD group despite no significant differe...Continue Reading

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Citations

Aug 23, 2019·Current Opinion in Nephrology and Hypertension·Matthew TunbridgeDavid W Johnson
Apr 23, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Guo XieyiLi Zi
Jan 22, 2019·Frontiers in Physiology·Ewa WojtaszekJoanna Matuszkiewicz-Rowińska

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