Evaluation of complications in urgent start peritoneal dialysis: Single-center experience

Ther Apher Dial. 2023 Apr;27(2):314-319. doi: 10.1111/1744-9987.13916. Epub 2022 Sep 20.

Abstract

Background: Patients who were urgent start peritoneal dialysis (USPD) were evaluated in terms of complications.

Methods: The data from 102 patients (43 males and 59 females, mean age 58.18 ± 15.3 years) who were on peritoneal dialysis with a placed catheter between January 2014 and June 2019 in our Nephrology clinic was evaluated. The patients were divided into three groups according to the starting time of peritoneal dialysis. The development of complications between the groups (peritonitis, leakage, hernia), hemodialysis return time and overall survival times were compared.

Results: There was no difference between the groups in terms of survival and complications. Diabetes, advanced age, albumin values were found to be risk factors for mortality, while no differences were found between the groups in terms of complications and mortality.

Conclusion: USPD can be recommended for both because it provides a permanent dialysis option and because it leads to fewer complications than urgent start HD.

Keywords: chronic kidney disease; complication; mortality; peritoneal dialysis; urgent start peritoneal dialysis.

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Kidney Failure, Chronic* / therapy
  • Male
  • Middle Aged
  • Peritoneal Dialysis* / adverse effects
  • Peritonitis* / etiology
  • Renal Dialysis
  • Time Factors