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- W3033462396 abstract "Abstract Background and Aims Chronic kidney disease (CKD) is increasing worldwide and there is a rising need for renal replacement therapies (RRT). PD has multiple advantages over hemodialysis (HD), but in most patients requiring an unplanned start HD is the selected RRT. Method We retrospectively analyzed all patients started on unplanned PD in our unit from January 2006 until April 2019. Demographics, blood test parameters and complications were collected. Unplanned start on PD was defined as initiating PD less than 4 weeks after PD catheter implantation. Results Of 14 patients, 8 were referred from ACKD clinic, 3 were failing renal transplants and 3 previous PD patients that required catheter replacement due to severe peritonitis. Fluid overload with rapid decline in kidney function was the acute trigger for RRT in 4 patients and 1 had a nephrectomy. Late referral with uremic symptoms was the reason for unplanned start in 5 patients. Two patients (14.2%) had mechanical complications that did not require surgical intervention. None had infections related to technique. PD was performed by our PD unit nursing staff in all cases and technique was well tolerated. Results are summarized in table 1. Conclusion PD is a safe and valid option even when an unplanned start on RRT is required. It did not show higher morbidity nor mortality in our series, allowing avoidance of central lines in our patients and preserving vascular capital. Furthermore, PD is a less expensive technique than HD. Nursing staff support is key to develop it." @default.
- W3033462396 created "2020-06-12" @default.
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- W3033462396 date "2020-06-01" @default.
- W3033462396 modified "2023-09-24" @default.
- W3033462396 title "P1178FEASIBILITY OF UNPLANNED START IN PERITONEAL DIALYSIS (PD)" @default.
- W3033462396 doi "https://doi.org/10.1093/ndt/gfaa142.p1178" @default.
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