Starting dialysis in an unplanned manner is frequent situation in dialysis center even for patients with regular nephrology follow-up. Peritoneal dialysis (PD) appears as an option for unplanned initiation of chronic dialysis, offering the advantage of not using central venous catheters and preserving of residual renal function. Since July 2014, we have offered PD as urgent start for chronic kidney disease (CKD) patients.It was a prospective study that aimed to evaluate the mortality rate in hospitalized patients who started unplanned urgent PD in the first 90 days. It was used high-volume PD right after (<48 h) PD catheter placement, and it was kept until metabolic and fluid controls were achieved. After hospital discharge, patients were treated with intermittent PD on alternate days at the dialysis unit until family training.Thirty-five patients were included from July 2014 to January 2015. Age was 57.7 ± 19.2 years, diabetes was the main etiology of CKD (40.6
作者:Dayana Bitencourt, Dias;Vanessa, Banin;Marcela Lara, Mendes;Pasqual, Barretti;Daniela, Ponce
来源:International urology and nephrology 2016 年 48卷 6期