Appraising the outcome and complications of peritoneal dialysis patients in self-care peritoneal dialysis and assisted peritoneal dialysis: A 5-year review of a single Saudi center
| Autor: | Ahmad Raed Tarakji, Saad Al Obaili, Abdullah Aldohayan, Mohammad Alkhowaiter, Jamal Al Wakeel, Mohammed Al Ghonaim, Saira Usama |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment 030232 urology & nephrology Saudi Arabia lcsh:Medicine Peritonitis 030204 cardiovascular system & hematology Kidney Risk Assessment Peritoneal dialysis 03 medical and health sciences Young Adult 0302 clinical medicine Risk Factors Internal medicine medicine Humans Child Dialysis Aged Retrospective Studies Aged 80 and over business.industry Incidence (epidemiology) Mortality rate lcsh:R Infant Retrospective cohort study General Medicine Middle Aged medicine.disease Home Care Services Self Care Treatment Outcome Child Preschool Ambulatory Kidney Failure Chronic Female Hemodialysis business Peritoneal Dialysis |
| Zdroj: | Saudi Journal of Kidney Diseases and Transplantation, Vol 29, Iss 1, Pp 71-80 (2018) |
| ISSN: | 1319-2442 |
| Popis: | Our objective is to study the outcomes and complications of peritoneal dialysis (PD) including comparison of self-care PD with home-care assisted PD during a five-year period. A retrospective study of PD data at King Saud University-affiliated hospital in Riyadh from January 1, 2009, to December 31, 2013. One hundred and eleven patients were included (female 55%). The average age was 47.4 (1–83) years. Twenty-one (18.91%) patients were on continuous ambulatory PD and 90 (81.08%) on automated PD. The mean time on PD was 23.5 (3–60) months. At the end of five years, 47 (42.34%) patients were continuing on PD, 12 (10.81%) had renal transplant, 33 (29.73%) patients were transferred to hemodialysis, and two (1.8%) patients were transferred to other centers. Seventeen patients died during this period giving a mortality rate of 7.13 deaths/100 patient-year during the five-year period. Six patients died due to cardiovascular causes, while five had sepsis. There was one death each due to prostate cancer, hyperoxaluria, and toxic epidermal necrolysis. Three patients died suddenly at home. Peritonitis rate was one episode/35.28 patient/month or one episode/2.94 patient/year. We compared the results for patients doing the dialysis themselves [56 (50.45%)] “self-care PD” to 55 (49.5%) patients assisted by a family member or other caregivers “assisted PD.” We found no significant difference in the incidence of complications, technical outcome, mortality, and peritonitis episodes. However, we found a high prevalence of diabetes mellitus and significant increase in exit site infection in assisted PD. Our study suggests that PD patients in Saudi Arabia have a good overall outcome. Furthermore, assisted PD showed good patient and technique outcome. |
| Databáze: | OpenAIRE |
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