Analysis of Peritoneal Equilibration Test and Risk Factors of High Transporter in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis
Keywords:
peritoneal equilibration test, patients with CAPD, PD Nurse, risk factors, high transporter peritoneal membrane permeabilityAbstract
The peritoneal equilibration test (PET test) is one of the most important tools used to identify the appropriate treatment of continuous ambulatory peritoneal dialysis (CAPD) patients. The prospective cohort research aimed to analyze the PET in patients undergoing CAPD from February to May 2019, and risk factors associated to high transporter peritoneal membrane permeability. This study was conducted at Queen Savang Vadhana Memorial Hospital. The standard PET was done. Data were analyzed using statistical software. Descriptive statistics were frequency and percentage. The Chi-square test was used to compare the percentage between the different groups. The risk factors associated to high transporter were determined using risk ratio (RR) and the 95% confidence interval (95%CI). A p value less than .05 was considered as statistical significance.
There were 60 CAPD patients in this study. The groups of patients were selected for their ability to remove waste products of peritoneal based on plasma creatinine ratio (D/PCr). The subjects were divided into 3 groups of patients: low average (48.3%), high average (40.0%) and high transporter (11.7%). There were no patients in the low transporter group. For the ultrafiltration of peritoneal showed dialysate to glucose ratio (D/D0glucose), the study found that there were 4 groups of patients: high average (46.7%), low average (31.7%), high transporter (16.7%) and low transporter (5.0%).
There were two factors associated to high transporter peritoneal type: using a high concentrate dialysate (42.9% vs. 7.5%, p = .006, RR = 5.68 (95%CI = 1.60, 20.28)) and ultrafiltration less than or equal to 100 milliliters (42.9% vs. 8.2%, p = .001, RR = 8.25 (95%CI = 2.52-26.97)).
The recommendations for nursing care in peritoneal dialysis patients regarding peritoneal type from PET test were as follows: the high transporter which has low ultrafiltration, therefore the hypervolumia must be prevented. For the low transporter, which has high ultrafiltration but low elimination of waste products, the uremia must be prevented.
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