Urgent vs. early-start peritoneal dialysis: patients' profile and outcomes
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”...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Nefrologia
2020-06-01
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| Series: | Brazilian Journal of Nephrology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100110&tlng=en |
| _version_ | 1818973869768179712 |
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| author | Viviane Calice-Silva Bruna C. Tonial Pedro Eugênio Deboni Daudt Izabel Ribeiro Helen C. Ferreira Fabiana B. Nerbass |
| author_facet | Viviane Calice-Silva Bruna C. Tonial Pedro Eugênio Deboni Daudt Izabel Ribeiro Helen C. Ferreira Fabiana B. Nerbass |
| author_sort | Viviane Calice-Silva |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-20T15:31:01Z |
| format | Article |
| id | doaj.art-91b08bb21e934b029bc2cb4c953688df |
| institution | Directory Open Access Journal |
| issn | 2175-8239 |
| language | English |
| last_indexed | 2024-12-20T15:31:01Z |
| publishDate | 2020-06-01 |
| publisher | Sociedade Brasileira de Nefrologia |
| record_format | Article |
| series | Brazilian Journal of Nephrology |
| spelling | doaj.art-91b08bb21e934b029bc2cb4c953688df2022-12-21T19:35:37ZengSociedade Brasileira de NefrologiaBrazilian Journal of Nephrology2175-82392020-06-0143111011410.1590/2175-8239-jbn-2020-0011Urgent vs. early-start peritoneal dialysis: patients' profile and outcomesViviane Calice-Silvahttps://orcid.org/0000-0002-9696-0529Bruna C. Tonialhttps://orcid.org/0000-0002-7570-7241Pedro Eugênio Deboni DaudtIzabel Ribeirohttps://orcid.org/0000-0003-3522-7232Helen C. Ferreirahttps://orcid.org/0000-0003-0268-9617Fabiana B. Nerbasshttps://orcid.org/0000-0001-9936-0185ABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100110&tlng=enPeritoneal DialysisKidney Failure, ChronicRenal Replacement Therapy |
| spellingShingle | Viviane Calice-Silva Bruna C. Tonial Pedro Eugênio Deboni Daudt Izabel Ribeiro Helen C. Ferreira Fabiana B. Nerbass Urgent vs. early-start peritoneal dialysis: patients' profile and outcomes Brazilian Journal of Nephrology Peritoneal Dialysis Kidney Failure, Chronic Renal Replacement Therapy |
| title | 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_short | Urgent vs. early-start peritoneal dialysis: patients' profile and outcomes |
| title_sort | urgent vs early start peritoneal dialysis patients profile and outcomes |
| topic | Peritoneal Dialysis Kidney Failure, Chronic Renal Replacement Therapy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100110&tlng=en |
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