Preliminary evaluation of incremental peritoneal dialysis in 25 patients.
Perit Dial Int
; 20(4): 412-7, 2000.
Article
em En
| MEDLINE
| ID: mdl-11007372
ABSTRACT
BACKGROUND:
Incremental dialysis has been suggested for patients with some residual renal function. However, very little published clinical data exist on the feasibility of this schedule.OBJECTIVES:
To assess feasibility of incremental dialysis, with regard to its effect, complications, and impact on quality of life.DESIGN:
Pilot prospective study, not controlled.SETTING:
Nephrology division, public clinical research hospital. PATIENTS Twenty-five patients (19 men, mean age 61+/-13 years, body weight 63+/-11 kg) began peritoneal dialysis (the first treatment of uremia) with a single nightly exchange lasting 10 hours or 2 daily exchanges over 12 hours according to creatinine clearance and Kt/N. Patients gave informed consent and reported their work activity, degree of rehabilitation, and their quality of life by answering a questionnaire prepared for this purpose. OUTCOMEMEASURES:
Survival rate, complications related to peritoneal dialysis, and residual renal and peritoneal clearances.RESULTS:
During the study period no patient died. Complications related to dialysis were peritonitis (0.41 episodes/year) and exit-site infection (0.32 episodes/year). All patients continued to work with full rehabilitation and considered 1 or 2 exchanges per day less troublesome than 3 or 4.CONCLUSIONS:
Incremental dialysis is well accepted by patients and staff. This technique does not involve a high risk of complications and is economical. Therefore incremental dialysis is feasible.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Diálise Peritoneal
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Perit Dial Int
Assunto da revista:
NEFROLOGIA
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Itália