Abstract
Introduction: Peritoneal dialysis (PD) is a kind of renal replacement therapy for end-stage renal disease (ESRD). While PD has many advantages, various complications may arise.Methods: This retrospective study analyzed the complications of ESRD patients who received PD catheter implantation in a single medical center within 15 years.Results: This study collected 707 patients. In the first 14 days after PD implantation, 54 patients experienced bleeding complications, while 47 patients experienced wound infection. Among all complications, catheter-related infections were the most common complication 14 days after PD implantation (incidence: 38.8%). A total of 323 patients experienced PD catheter removal, of which 162 patients were due to infection, while 96 were intentional due to kidney transplantation. Excluding those whose catheters were removed due to transplantation, the median survival of the PD catheter was 4.1 years; among them, patients without diabetes mellitus (DM) were 7.4 years and patients with DM were 2.5 years (p < 0.001). Further, 50% probability of surviving was beyond 3.5 years in DM patients with HbA1CC < 7 and 1.6 years in DM patients with HbA1C <7 (p ≥ 0.001).Conclusions: Catheter-related infections were the most common complications following PD catheter implantation. DM, especially with HbA1C ≥7, significantly impacted on the catheter-related infection and the survival probability of the PD catheter.
Highlights
Peritoneal dialysis (PD) is a kind of renal replacement therapy for end-stage renal disease (ESRD)
The youngest ESRD patient receiving PD catheter implantation surgery was 17 years old, and the oldest was 87 years old; the mean age was 54 years old (54.07 ± 15.66), and ages had a normal distribution in the sample, with a median of 54 years old
The results revealed that PD catheterrelated infections were the most frequent complication (38.8%)
Summary
Peritoneal dialysis (PD) is a kind of renal replacement therapy for end-stage renal disease (ESRD). End-stage renal disease (ESRD) is the final stage of chronic kidney disease (CKD). Deterioration of renal function is irreversible in ESRD patients, Diabetes Is Critical to PD Catheter Placement resulting in the accumulation of metabolic waste and water in the body and the imbalance of electrolyte and acid base. Appropriate renal replacement therapy may prevent the fatal condition and prolong the lives of ESRD patients. Hemodialysis (HD), peritoneal dialysis (PD), and kidney transplantation are the main types of renal replacement therapy. Though HD is previously the predominant type of dialysis in Taiwan, a steadily growing number of ESRD patients are opting to receive PD recently
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