AI Article Synopsis
- Recent evidence indicates that automated peritoneal dialysis (APD) could serve as a viable alternative to hemodialysis (HD) for patients starting dialysis urgently.
- A study involving 36 end-stage renal disease (ESRD) patients tracked complications, dialysis adequacy, and survival rates over a mean follow-up of 22 months, revealing that 30.6% faced dialysis-related complications, but most remained stable without needing significant interventions.
- The findings suggest that with a high technique survival rate of 94.4% and a patient survival rate of 97.2%, APD is a safe and effective option for urgent-start dialysis in ESRD patients.
Article Abstract
Background: Recent evidence suggests that automated peritoneal dialysis (APD) might be a feasible alternative to hemodialysis (HD) in urgent-start peritoneal dialysis.
Methods: This prospective study enrolled end-stage renal disease (ESRD) patients who had started APD as an urgent-start dialysis modality at a single center. Dialysis-related complications were recorded. Dialysis adequacy and electrolytes imbalance were compared between baseline, 14 and 42 days after catheter insertion. Technique survival and patient survival were also recorded.
Results: A total of 36 patients were included in the study. Mean follow-up duration was 22 months. During the follow-up, 11 PD patients (30.6%) developed dialysis-related complications. Only two patients (5.6%) required re-insertion and one patients (2.8%) transfer to HD. The 2-year technique survival rate and patient survival rate were 94.4% and 97.2%, respectively.
Conclusion: In considering safety and dialysis adequacy, APD could be a feasible dialysis modality for urgent-start dialysis in ESRD patients, using a standard procedure.
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| http://dx.doi.org/10.1111/1744-9987.13943 | DOI Listing |
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