A5028395931- Dialysis and Renal Disease Management
- Pharmacological Effects and Toxicity Studies
- Central Venous Catheters and Hemodialysis
- Pneumocystis jirovecii pneumonia detection and treatment
- Cardiovascular Syncope and Autonomic Disorders
- Blood Pressure and Hypertension Studies
- Atrial Fibrillation Management and Outcomes
- Renal Transplantation Outcomes and Treatments
- HIV/AIDS Research and Interventions
- Healthcare cost, quality, practices
- Heart Failure Treatment and Management
- Renal and Vascular Pathologies
- Chronic Disease Management Strategies
- Sepsis Diagnosis and Treatment
- Pharmaceutical studies and practices
- Potassium and Related Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Clinical practice guidelines implementation
Helsinki University Hospital
2020-2024
University of Helsinki
2020-2024
Hospital District of Helsinki and Uusimaa
2023
Objectives Infections are the most common non-cardiovascular cause of death among dialysis patients. Earlier studies have shown similar or higher risk infectious complications in peritoneal (PD) compared to hemodialysis (HD) patients, but comparisons home HD patients been rare. We investigated severe infections after start continuous ambulatory PD (CAPD) and automated (APD) as HD. Methods All adult (n = 536), who were on at day 90 from starting kidney replacement therapy (KRT) between 2004...
ABSTRACT Background Several studies have shown superior survival of patients on home haemodialysis (HD) compared with peritoneal dialysis (PD), but automated PD (APD) and continuous ambulatory (CAPD) not been considered separately. As APD allows larger fluid volumes may be more efficient than CAPD, we primarily patient between HD. Methods All adult who started kidney replacement therapy (KRT) 2004 2017 in the district Helsinki-Uusimaa Finland were one modalities at 90 days from starting KRT...
Key Points We observed a comparable cumulative incidence of major adverse cardiovascular event (MACE) in in-center hemodialysis (IC-HD) and continuous ambulatory peritoneal dialysis (PD) patients, which was higher than automated PD home patients. After adjustment for confounders, there no difference risk MACE between patients on modalities IC-HD. Compared with IC-HD, associated lower among female male Background Among events are the leading cause death. Little is known about how frequency...
Abstract Background and Aims A reduction in the serum level of albumin following initiation peritoneal dialysis (PD) has been reported to associate with impaired survival. Our aim was identify pre-PD risk factors drop albumin, estimate how a decrease affects PD patients’ survival prognosis. Method We included all adult patients who had on for at least half year Helsinki area Finland during years 2004 2019. Patients history longer than 1 before transferal were excluded. analysed start last...
Abstract Background and Aims Among dialysis patients, cardiovascular events are the leading cause of death. Little is known about difference in frequency between various modalities. Glucose load may contribute to a metabolic burden peritoneal (PD). On other hand, hemodialysis can intradialytic hypotension, cardiac stunning, arrhythmias, which associated with increased risk We compared major patients who started continuous ambulatory PD (CAPD), automated (APD) home HD in-center patients....
Abstract Background and Aims Many studies have compared survival of patients on peritoneal dialysis hemodialysis, but knowledge differences between various types home is limited. Therefore, our study aimed to assess the associated in CAPD, APD HD. Method During 2004 2017, 1640 aged 18 years or older started RRT Helsinki University Hospital. Patients who were one modalities at 90 days (n=536), been studied. The follow up endpoint was either death end 2019. A research database established...
Abstract BACKGROUND Dialysis patients have a more than ten-fold risk of dying from infections compared with general population. In earlier studies, the was similar in peritoneal dialysis (PD) and haemodialysis (HD), but comparison to home HD has not been performed. Our aim study incidence severe after start as continuous ambulatory PD (CAPD) automated (APD). METHODS We included all 536 adult patients, who were on at day 90 kidney replacement therapy (KRT) between 2004 2017 Helsinki...
Background: Kidney transplantation (KT) has proven to be the preferable kidney replacement therapy (KRT) as it provides a better survival and quality of life. Well-known patient-related factors influencing patients’ access KT are blood type, age, comorbidities, pre-sensitization HLA antigens. Research on home dialysis modalities´ effect this matter is scarce. Methods: We included all adult patients who started between 2004 2017 in Helsinki University Hospital treated with modalities (N=536),...