Urgent-Start Peritoneal Dialysis and Hemodialysis in ESRD Patients: Complications and Outcomes

• DOI: 10.1371/journal.pone.0166181
• Publication Date: 2016-11-08T13:40:41Z
• Authors: Haijiao Jin; Wei Fang; Mingli Zhu; Zanzhe Yu; Yan Fang; Hao Yan; Minfang Zhang; Qin Wang; Xiajing Che; Yuanyuan Xie; Jiaying Huang; Chunhua Hu; Haifen Zhang; Shan Mou; Zhaohui Ni
• Keywords: Adult; Male; Time Factors; Adolescent; Science; Bacteremia; Comorbidity; 03 medical and health sciences; 0302 clinical medicine; Renal Dialysis; Risk Factors; Prevalence; Humans; Referral and Consultation; Aged; Retrospective Studies; Aged, 80 and over; Incidence; Q; R; Middle Aged; 3. Good health; Survival Rate; Medicine; Kidney Failure, Chronic; Female; Peritoneal Dialysis; Research Article

Background Several studies have suggested that urgent-start peritoneal dialysis (PD) is a feasible alternative to hemodialysis (HD) in patients with end-stage renal disease (ESRD), but the impact of modality on outcome, especially short-term complications, has not been directly evaluated. The aim current study was compare complications and outcomes PD HD ESRD patients. Methods In this retrospective study, who initiated urgently without pre-established functional vascular access or catheter at single center from January 2013 December 2014 were included. Patients grouped according their (PD HD). Each patient followed for least 30 days after insertion (until 2016). Dialysis-related survival compared between two groups. Results Our enrolled 178 (56.2% male), whom 96 82 groups, respectively. Compared patients, had more cardiovascular disease, less heart failure, higher levels serum potassium, hemoglobin, albumin, pre-albumin, lower brain natriuretic peptide. There no significant differences gender, age, use steroids, early referral nephrologist, prevalence primary diseases, co-morbidities, other laboratory characteristics incidence dialysis-related during first significantly than probability bacteremia an independent predictor (30-day) complications. difference respect rate. Conclusion experienced center, safe urgent need dialysis.