1. Prognostic factors in patients undergoing early-start peritoneal dialysis within 24 h after catheter insertion
- Author
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Yi Hua Bai, Jing Chen, Hong Ying Jiang, Jing Li, Dan Ju Huang, Hong Yan Pi, Ji Sai Li, and Luo Hua Li
- Subjects
Male ,0301 basic medicine ,Time Factors ,Early-start peritoneal dialysis ,Physiology ,medicine.medical_treatment ,Kaplan-Meier Estimate ,Biochemistry ,Body Mass Index ,Diabetic nephropathy ,Catheters, Indwelling ,0302 clinical medicine ,Risk Factors ,Survival rates ,Early start ,General Pharmacology, Toxicology and Pharmaceutics ,lcsh:QH301-705.5 ,lcsh:R5-920 ,Catheter insertion ,General Neuroscience ,Age Factors ,General Medicine ,Middle Aged ,Prognosis ,End stage renal disease ,030220 oncology & carcinogenesis ,Female ,Hemodialysis ,lcsh:Medicine (General) ,Research Article ,Adult ,medicine.medical_specialty ,Peritoneal dialysis ,Immunology ,Biophysics ,Ocean Engineering ,Catheterization ,03 medical and health sciences ,medicine ,Humans ,In patient ,Dialysis ,Proportional Hazards Models ,business.industry ,Cell Biology ,medicine.disease ,Surgery ,Transplantation ,030104 developmental biology ,lcsh:Biology (General) ,Multivariate Analysis ,Kidney Failure, Chronic ,business - Abstract
This study aimed to investigate the clinical characteristics, prognosis, and factors for survival of patients who underwent early-start peritoneal dialysis (PD) within 24 h after catheter insertion three years after PD. This study was conducted from January 1, 2013 to December 31, 2017. All adult patients who were diagnosed with end-stage renal disease (ESRD) and underwent PD for the first time within 24 h after catheter insertion in our hospital were included. All patients with PD were followed-up until they withdrew from PD, switching to hemodialysis, were transferred to other medical centers, underwent renal transplantation, died or were lost to follow-up, or continued to undergo dialysis until the end of the study period. The follow-up observation lasted three years. The number of eligible patients was 110, and switching to hemodialysis and death were the main reasons for patients to withdraw from PD. The 1-, 2-, and 3-year technical survival rates of patients were 89.1, 79.1, and 79.1% respectively, while the 1-, 2- and 3-year survival rates were 90, 81.8, and 81.8%, respectively. The Charlson comorbidity index, age, hemoglobin, serum albumin, diabetic nephropathy, chronic glomerulonephritis, and hypertensive renal damage were independent risk factors that affected the prognosis of PD patients. Under the condition of ensuring the quality of the PD catheter insertion, early-start PD within 24 h after catheter insertion is a safe treatment approach for ESRD patients.
- Published
- 2019