Course and outcome of dialysis pericarditis in diabetic patients treated with maintenance hemodialysis
| Autor: | Chiz-Tzung Chang, Cheng-Hao Weng, I-Kuan Wang, Tzung-Hai Yen, Ja-Liang Lin, Chih-Chia Liang, Jing-Ren Tseng, Ming-Jse Lee, Kung-Chi Yen, Dan-Tzu Lin-Tan |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Diabetes Complications Pericarditis Recurrence Renal Dialysis Diabetes mellitus Internal medicine Diabetes Mellitus Medicine Humans Intensive care medicine Pericardiectomy Survival rate Dialysis Aged business.industry General Medicine Middle Aged medicine.disease Pericardial window Survival Rate Treatment Outcome Nephrology Disease Progression Observational study Female Hemodialysis Cardiology and Cardiovascular Medicine business |
| Zdroj: | Kidneyblood pressure research. 32(1) |
| ISSN: | 1423-0143 |
| Popis: | Introduction: This observational study investigated the course and outcome of dialysis pericarditis in diabetic dialysis patients, as previous reports found that in contrast to uremic pericarditis, which responds in most cases to intensive hemodialysis, dialysis pericarditis resolves with intensification of hemodialysis in fewer cases. Methods: From 2002 through 2006, 88 maintenance hemodialysis patients (47 diabetic and 41 non-diabetic) were referred for management of dialysis pericarditis. Results: Dialysis pericarditis in 85.1% of diabetic and 82.9% of non-diabetic patients improved following institution of intensive hemodialysis. For the few unresponsive and critical cases, 8.5% of diabetic and 7.3% of non-diabetic patients received pericardiocentesis, whereas 6.4% of diabetic and 9.8% of non-diabetic patients received surgical drainage. In terms of outcome, 85.1, 4.3 and 10.6% of diabetic patients were alive without recurrence, alive with recurrence and deceased, respectively. There was no significant difference with their non-diabetic counterparts, for which the percentages were 87.8, 4.9 and 7.3%, respectively (p > 0.05). Kaplan-Meier analysis did not find any significant difference in survival as well (p > 0.05). Conclusion: Whether used in diabetics or not, intensive hemodialysis remains the primary and most effective dialysis pericarditis treatment, whereas pericardiocentesis or surgical drainage should be reserved for the few unresponsive and critical cases. |
| Databáze: | OpenAIRE |
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