Characteristics and Outcomes of Exit Sites of Buried Peritoneal Dialysis Catheters: A Cohort Study
| Autor: | Vaibhav Keskar, Jeffrey E. Warren, Brian Blew, Brendan B. McCormick, Mohan Biyani |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment 030232 urology & nephrology 030204 cardiovascular system & hematology Peritonitis Peritoneal dialysis 03 medical and health sciences 0302 clinical medicine Catheters Indwelling Risk Factors Tissue trauma Medicine Humans Dialysis Retrospective Studies Exit site business.industry General Medicine Prognosis Surgery Clinic visit Catheter Nephrology Kidney Failure Chronic Female business Peritoneal Dialysis Cohort study Follow-Up Studies |
| Zdroj: | Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis. 38(5) |
| ISSN: | 1718-4304 |
| Popis: | Buried peritoneal dialysis (PD) catheters are placed months before dialysis is needed and the exit site is created when the catheter is dissected out at the initiation of dialysis. In contrast, the exit site of an unburied catheter is created by the surgeon at the time of insertion. We reviewed all patients who initiated PD at our center over a 2-year period. At each clinic visit, exit sites were subjectively classified into standard predefined groups. Outcomes of interest were the frequency of perfect exit sites at 2, 6, and 12 months and rate of exit-site infections (ESIs) at 90 days. One hundred and seventy-seven patients initiated PD during the period of interest, and 169, 157, and 144 remained on PD at 2, 6, and 12 months, respectively. Ninety-three patients had buried catheters, and 76 patients had unburied catheters. Both groups had similar frequency of perfect appearance of exit sites at 2, 6, and 12 months (37/93 vs 41/76 at 2 months; 54/87 vs 43/70 at 6 months; 50/ 81 vs 35/ 63 at 12 months in buried and unburied groups, respectively). More patients with buried catheters had ESIs in the first 3 months (7/93 vs 1/76, p = 0.059). We conclude that exit sites of buried PD catheters do not differ qualitatively from those of unburied catheters. The trend towards more ESIs with buried catheters suggests that there may be clinical consequences of the tissue trauma at time of exteriorization. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|