Outcome of patients treated with automated peritoneal dialysis : effects of selection of patients
المؤلفون المشاركون
Abd al-Rahman, Muhammad
Karkar, Ayman
المصدر
Saudi Journal of Kidney Diseases and Transplantation
العدد
المجلد 22، العدد 1 (28 فبراير/شباط 2011)، ص ص. 40-48، 9ص.
الناشر
تاريخ النشر
2011-02-28
دولة النشر
السعودية
عدد الصفحات
9
التخصصات الرئيسية
الموضوعات
الملخص EN
To determine the effect of selection of peritoneal dialysis patients who used automated PD (APD) as a first renal replacement therapy (RRT) option, we studied two groups of adult chronic kidney disease (CKD) patients treated with APD over a period of 4 years: group 1 included 30 patients in whom APD was the first choice for RRT and group 2 included 40 patients transferred from failed hemodialysis (HD) treatment.
Both groups were matched for the original causes of CKD and comorbid conditions.
However, group 1 had significantly higher residual renal function (RRF) than group 2 [glomerular filtration rate (GFR) 11.85 ± 4 mL/min and urine output 995 ± 465 mL/day vs.
3.69 ± 3.7 mL/min and 340 ± 447 mL/day, respectively, P = 0.0001] and Kt/v (2.7 ± 0.7 vs.
1.9 ± 0.4, respectively, P = 0.006).
Most of the patients were compliant with their APD prescription, performed ideal PD techniques, achieved adequate dialysis and fluid ultrafiltration, and experienced much less than average infectious and non-infectious complications.
However, group 1 achieved better clinical outcome than group 2, including relatively higher survival rate and kidney transplantation, significantly fewer episodes of peritonitis per year (0.09 vs.
0.14, respectively, P = 0.0001), higher serum albumin (2.95 ± 0.3 vs.
2.7 ± 0.27 g/dL, respectively, P = 0.035), hemoglobin (11.5 ± 0.9 vs.
10.6 ± 0.7 g/dL, respectively, P = 0.022) and lower parathormone levels (283 ± 117 vs.
389 ± 269 pg/mL, respectively, P = 0.02).
They also maintained significantly higher total fluid removal compared to group 2 (1120 ± 330 vs.
560 ± 300 mL/day, respectively, P = 0.004), higher RRF (GFR 8 ± 2.6 mL/min vs.
1.8 ± 2.4 mL/min, respectively, P = 0.0001), and urine output (556 ± 447 mL/day vs.
240 ± 347 mL/day, respectively, P = 0.004), and significantly higher Kt/v (2.8 ± 0.7 vs.
1.9 ± 0.4, respectively, P = 0.2).
In conclusion, in CKD patients, PD is a viable initial modality of RRT, and with better RRF may have a better outcome than as a secondary choice.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Karkar, Ayman& Abd al-Rahman, Muhammad. 2011. Outcome of patients treated with automated peritoneal dialysis : effects of selection of patients. Saudi Journal of Kidney Diseases and Transplantation،Vol. 22, no. 1, pp.40-48.
https://search.emarefa.net/detail/BIM-245125
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Karkar, Ayman& Abd al-Rahman, Muhammad. Outcome of patients treated with automated peritoneal dialysis : effects of selection of patients. Saudi Journal of Kidney Diseases and Transplantation Vol. 22, no. 1 (Feb. 2011), pp.40-48.
https://search.emarefa.net/detail/BIM-245125
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Karkar, Ayman& Abd al-Rahman, Muhammad. Outcome of patients treated with automated peritoneal dialysis : effects of selection of patients. Saudi Journal of Kidney Diseases and Transplantation. 2011. Vol. 22, no. 1, pp.40-48.
https://search.emarefa.net/detail/BIM-245125
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references.
رقم السجل
BIM-245125
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر