The result of peritoneal dialysis in Fang Hospital
Keywords:
การล้างไตทางช่องท้อง, อัตรารอดชีวิต, ภาวะติดเชื้อในเยื่อบุช่องท้องAbstract
Renal replacement therapy using peritoneal dialysis is an effective treatment.There areincreasing numbers of patients after Thailand approved the right for renal replacement according to “PD First Policy”. This retrospective study to evaluate at studying the survival rate, drop out, peritonitis and factors affecting the mortality of patients who receivedContinuous Ambulatory Peritoneal Dialysis (CAPD) in Fang Hospital during 1 August 2014 to 31 August 2015.37 CAPD patients were included in this study,20 patients (54.1%) were male. An average age of patients were61.9 ± 13.47years. If these 18 patients (48.6 %) had diabetes.The one year survival rafe was 58%. The were 10 patients (27%) drop-out, Because of death. Among them, nobodywere transferred to hemodialysis or received kidney transplantation. A main causeof drop-out and death were other infections. The incidence of peritonitiswas 20 patient-months per episode. The important risk factors for mortality were old age, diabetes mellitus, low BMI, exchange dialysate by care giver and high serum phosphate. The results of this study indicate lower clinical outcomes of PD treatment compare to the other studies due to predominantly by greater age, diabetes. And lower serum albumin. Limitation of this study includessmall sample size and short period of follow up.Futher study was recommended.
References
ทวี ศิริวงศ์, วิชช์ เกษมทรัพย์, อดิศรวังศิริไพศาล,และจิรายุทธ จันทร์มา. ผลสำาเร็จที่จับต้องได้.สิทธิบำาบัดทดแทนไตด้วยวิธีล้างไตทางช่องท้อง: หนึ่งในรูปธรรมความสำาเร็จที่จับต้องได้ของระบบหลักประกันสุขภาพถ้วนหน้า. กรุงเทพมหานคร : สหมิตรพริ้นติ้งแอนด์พับลิชชิง ; 2555:29-37.
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Buranachokpaisan W. Survival in ContinuousAmbulatory Peritoneal dialysis patients in Buddhachinaraj Hospital, Phitsanulokunderuniversal coverage scheme during 2007-2011.Journal of the Nephrology Society of Thailand 2012; 3:57-63.
Burkart JM, Hylander B, Durnell-Figel T, Roberts D. Comparison of peritonitis rates during long-term use of standard spike versus Ultraset in continuous ambulatory peritoneal dialysis (CAPD).Perit Dial Int. 1990;10(1):41-3.
CholatipPongskul, ThathsalangKeobounma, and PunjuksornPromajuk.Survival and Technical Failure in a Large Cohortof Thai CAPD Patients. J Med Assoc Thai2006;89(Suppl. 2 ):93-105.
ChurchillDN, Thorpe KE, Nolph KD, Keshaviah PR, and Oreopoulos DG.Adequacy of dialysis and nutrition in continuous peritoneal dialysis: association outcomes.Canada-USA (CANUSA) Peritoneal Dialysis Study Group. J Am SocNephro1996;7(2):198-207.
Cueto-ManzanoAM, Quintana-Pina E, and Correa-Rotter. Longterm CAPD survival andanalysis of mortality risk factors: 12-year experience of a single Maxican center. Perit Dial Int 2001;21(2):148-53.
Fenton SS,Schaubel DE, Desmeules M, Morrison HI, Mao Y,Copleston P, et al. Hemodialysis versus peritone-al dialysis: acomparison of adjusted mortality rates. Am J Kidney Dis 1997;30: 334-42.
Fried LF, Bernardini J, Johnston JR, Piraino B. Peritonitis influencesmortality in peritoneal dialysis patients. J Am SocNephrol1996t;7(10):2176-82.
Ganesh SK, Stack AG, Levin NW, Hulbert-Shearon T, Port FK. Association of elevated serum PO(4), Ca x PO(4) product, and parathyroid hormone with cardiac mortality risk in chronic hemodialysis patients. J Am SocNephrol. 2001 Oct;12(10):2131-8.
Heaf JG, Sarac S, Afzal S. A high peritoneal large pore fluid flux causes hypoalbuminemiaand a risk factor for death in peritoneal dialysis patients. Nephrol Dial Transplant.2005;20(10):2194-201.
Jongsakul S. The result of peritoneal dialysis in Paholpolpayuhasaenahospital.Kanchanaburi Medical Journal 2013; 5-19.
Kang SH, Cho KH, Park JW, Yoon KW, Do JY. Risk factors for mortality in stable peritoneal dialysis patients. Ren Fail 2012;34(2):149-54.
Kim DK, Yoo TH, Ryu DR, Xu ZG, Kim HJ, Choi KH, et al. Changesin causative organisms and their antimicro-bial susceptibilities inCAPD peritonitis: a single center’s experience over one decade. Perit Dial Int2004;24(5):424-32.
Liawnoraset W. Prevalence and Factors Affecting Peritonitis inCAPD Patients in MaharatNakhonRatchasima Hospital underUniversal Coverage Scheme during 2008-2010.J Med Assoc Thai2011; 94 (Suppl. 4) S19-S24.
Li PK, Law MC, Chow KM, Chan WK, Szeto CC, Cheng YL, etal. Comparison of clinical outcome and ease of handling in twodouble-bag systems in continuous ambulatory peritoneal dialysis: A prospective, randomized, con-trolled, multicenter study. Am JKidney Dis2002;40(2):373-80.
Li PK, Szeto CC, Law MC, Chau KF, Fung KS, Leung CB, etal.Comparison of double-bag and Y-set disconnect systems in continuous ambulatory peritoneal dialysis: A randomized prospective multicenter study. Am J of Kidney Dis1999;33: 535–540.
Li PK, Szeto CC, Piraino B, Bernardini J, Figueiredo AE, Gupta A, et al. Peritoneal dialysis-related infections recommendations: 2010 update. Perit Dial Int 2010;30(4):393-423.
Muangpaisan T. Patient and technical survival survivaland factors affecting mortality on peritoneal dialysis in King-NaraiVonesh E, Correhospital. Journal of Medicine and Health Sciences 2012; 19 (3):19-28.
Paniagua R, Amato D, -Rotter R, Ramos A, Moran J, et al. Effects ofincreased peritoneal clearances on mortality rates in peritoneal dialysis: ADEMEX,a prospective, randomized, controlled trial. J Am SocNephrol 2002;13(5):1307-20.
Praditpornsilpa K, Lekhyananda S, Premasathian N, Kingwatanakul P, Lumpaopong A, Gojaseni P, et al. Prevalence trend of renal replacement therapy in Thailand: impact of health economics policy. J Med Assoc Thai.2011;94Suppl 4:S1-6.
Praditpornsilpa K, Prasithsirikul W, Lekhyananda S, Sakulsaengprapha A, Teepprasan T,et al. Thailandrenal replacement therapy registry report 2012; available from : URL: http://www.nephrothai.org/trt.
Siriwong T. Why PD get in trend and why everyone love it? Cardiovascular & Metabolic (Thailand).2011; 24: 43-4.Szeto CC, Chow KM, Kwan BC, Law MC, Chung KY, Yu S, et al. Staphylococcus aureus peritonitis complicates peritoneal dialysis: review of 245consecutive cases. Clin J Am SocNephrol 2007;2(2):245-51.
Szeto CC, Leung CB, Chow KM, Kwan BC, Law MC, Wang AY, et al. Change in bacterial aetiology of peritone-al dialysis-related peritonitis over 10 years: experience from a centre in South-East Asia. ClinMicrobiol Infect. 2005;11(10):837-9.
Trivedi H. Tan SH, Prowant B, Sherman A, Voinescu CG, Atalla J, et al. Predictors ofdeath in patients on peritoneal dialysis. The Missouri Peritoneal Dialysis Study.Am J nephrol 2005;25(5):466-73.
ถนอม สุภาพร. RRT supply side analysis. Source: TRT registry data2004. เอกสารประกอบการประชุมคณะกรรมการกำกับการวิจัยครั้งที่2/2547 เรื่อง “การเข้าถึงบริการการรักษาทดแทนไตในประเทศไทย:“ การวิเคราะห์เชิงนโยบาย”สำนักงานพัฒนาสุขภาพระหว่างประเทศกรุงเทพมหานคร:คณะอนุกรรมการการลงทะเบียนบำาบัดแทนไตสมาคมโรคไตแห่งประเทศไทย;2547: หน้า
147.
Block GA, Hulbert-Shearon TE, Levin NW, Port FK.Association of serum phosphorus and calcium x phos-phate product with mortality risk in chronic hemodialysis patients: a national study. Am J Kidney Dis. 1998 Apr;31(4):607-17.
Buranachokpaisan W. Survival in ContinuousAmbulatory Peritoneal dialysis patients in Buddhachinaraj Hospital, Phitsanulokunderuniversal coverage scheme during 2007-2011.Journal of the Nephrology Society of Thailand 2012; 3:57-63.
Burkart JM, Hylander B, Durnell-Figel T, Roberts D. Comparison of peritonitis rates during long-term use of standard spike versus Ultraset in continuous ambulatory peritoneal dialysis (CAPD).Perit Dial Int. 1990;10(1):41-3.
CholatipPongskul, ThathsalangKeobounma, and PunjuksornPromajuk.Survival and Technical Failure in a Large Cohortof Thai CAPD Patients. J Med Assoc Thai2006;89(Suppl. 2 ):93-105.
ChurchillDN, Thorpe KE, Nolph KD, Keshaviah PR, and Oreopoulos DG.Adequacy of dialysis and nutrition in continuous peritoneal dialysis: association outcomes.Canada-USA (CANUSA) Peritoneal Dialysis Study Group. J Am SocNephro1996;7(2):198-207.
Cueto-ManzanoAM, Quintana-Pina E, and Correa-Rotter. Longterm CAPD survival andanalysis of mortality risk factors: 12-year experience of a single Maxican center. Perit Dial Int 2001;21(2):148-53.
Fenton SS,Schaubel DE, Desmeules M, Morrison HI, Mao Y,Copleston P, et al. Hemodialysis versus peritone-al dialysis: acomparison of adjusted mortality rates. Am J Kidney Dis 1997;30: 334-42.
Fried LF, Bernardini J, Johnston JR, Piraino B. Peritonitis influencesmortality in peritoneal dialysis patients. J Am SocNephrol1996t;7(10):2176-82.
Ganesh SK, Stack AG, Levin NW, Hulbert-Shearon T, Port FK. Association of elevated serum PO(4), Ca x PO(4) product, and parathyroid hormone with cardiac mortality risk in chronic hemodialysis patients. J Am SocNephrol. 2001 Oct;12(10):2131-8.
Heaf JG, Sarac S, Afzal S. A high peritoneal large pore fluid flux causes hypoalbuminemiaand a risk factor for death in peritoneal dialysis patients. Nephrol Dial Transplant.2005;20(10):2194-201.
Jongsakul S. The result of peritoneal dialysis in Paholpolpayuhasaenahospital.Kanchanaburi Medical Journal 2013; 5-19.
Kang SH, Cho KH, Park JW, Yoon KW, Do JY. Risk factors for mortality in stable peritoneal dialysis patients. Ren Fail 2012;34(2):149-54.
Kim DK, Yoo TH, Ryu DR, Xu ZG, Kim HJ, Choi KH, et al. Changesin causative organisms and their antimicro-bial susceptibilities inCAPD peritonitis: a single center’s experience over one decade. Perit Dial Int2004;24(5):424-32.
Liawnoraset W. Prevalence and Factors Affecting Peritonitis inCAPD Patients in MaharatNakhonRatchasima Hospital underUniversal Coverage Scheme during 2008-2010.J Med Assoc Thai2011; 94 (Suppl. 4) S19-S24.
Li PK, Law MC, Chow KM, Chan WK, Szeto CC, Cheng YL, etal. Comparison of clinical outcome and ease of handling in twodouble-bag systems in continuous ambulatory peritoneal dialysis: A prospective, randomized, con-trolled, multicenter study. Am JKidney Dis2002;40(2):373-80.
Li PK, Szeto CC, Law MC, Chau KF, Fung KS, Leung CB, etal.Comparison of double-bag and Y-set disconnect systems in continuous ambulatory peritoneal dialysis: A randomized prospective multicenter study. Am J of Kidney Dis1999;33: 535–540.
Li PK, Szeto CC, Piraino B, Bernardini J, Figueiredo AE, Gupta A, et al. Peritoneal dialysis-related infections recommendations: 2010 update. Perit Dial Int 2010;30(4):393-423.
Muangpaisan T. Patient and technical survival survivaland factors affecting mortality on peritoneal dialysis in King-NaraiVonesh E, Correhospital. Journal of Medicine and Health Sciences 2012; 19 (3):19-28.
Paniagua R, Amato D, -Rotter R, Ramos A, Moran J, et al. Effects ofincreased peritoneal clearances on mortality rates in peritoneal dialysis: ADEMEX,a prospective, randomized, controlled trial. J Am SocNephrol 2002;13(5):1307-20.
Praditpornsilpa K, Lekhyananda S, Premasathian N, Kingwatanakul P, Lumpaopong A, Gojaseni P, et al. Prevalence trend of renal replacement therapy in Thailand: impact of health economics policy. J Med Assoc Thai.2011;94Suppl 4:S1-6.
Praditpornsilpa K, Prasithsirikul W, Lekhyananda S, Sakulsaengprapha A, Teepprasan T,et al. Thailandrenal replacement therapy registry report 2012; available from : URL: http://www.nephrothai.org/trt.
Siriwong T. Why PD get in trend and why everyone love it? Cardiovascular & Metabolic (Thailand).2011; 24: 43-4.Szeto CC, Chow KM, Kwan BC, Law MC, Chung KY, Yu S, et al. Staphylococcus aureus peritonitis complicates peritoneal dialysis: review of 245consecutive cases. Clin J Am SocNephrol 2007;2(2):245-51.
Szeto CC, Leung CB, Chow KM, Kwan BC, Law MC, Wang AY, et al. Change in bacterial aetiology of peritone-al dialysis-related peritonitis over 10 years: experience from a centre in South-East Asia. ClinMicrobiol Infect. 2005;11(10):837-9.
Trivedi H. Tan SH, Prowant B, Sherman A, Voinescu CG, Atalla J, et al. Predictors ofdeath in patients on peritoneal dialysis. The Missouri Peritoneal Dialysis Study.Am J nephrol 2005;25(5):466-73.
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2019-01-21
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