Infectious and mechanical complications in planned-start vs. urgent-start peritoneal dialysis: a cohort study

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatorMüller, João Victor Costa-
Autor(es): dc.creatorPonce, Daniela-
Data de aceite: dc.date.accessioned2025-08-21T16:09:29Z-
Data de disponibilização: dc.date.available2025-08-21T16:09:29Z-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2022-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1590/2175-8239-JBN-2021-0287pt-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/247371-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/247371-
Descrição: dc.descriptionBackground: Few studies have compared the infectious and mechanical complications seen in planned-start and urgent-start peritoneal dialysis (PD) patients. Objectives: To compare the incidence and etiology of mechanical and infectious complications in patients offered planned- and urgent-start PD and assess potential differences in patient survival and time on PD. Methods: This retrospective cohort study included patients with chronic kidney disease on planned- and urgent-start PD seen from 2014 to 2020 and compared them for mechanical and infectious complications, clinical outcome, death rates, and need to switch to hemodialysis. Results: Ninety-nine patients on planned-start PD and 206 on urgent-start PD were included. Incidence of exit-site infection (18.9 vs. 17.17%, p=0.71) and peritonitis (24.27 vs. 27.27%, p=0.57) were similar between patients, while pathogens causing peritonitis were different, although non-fermenting Gram-negative bacilli were more commonly seen in the planned-start PD group. Leakage as a mechanical complication and hospitalization were more common among patients needing urgent-start PD (10.68 vs. 2.02%, p=0.0085 and 35.44 vs. 17.17%, p=0.0011, respectively). Patient survival was similar between groups. Cox regression found an association between death and age (HR=1.051, 95% CI 1.026-1.07, p=0.0001) and albumin (HR=0.66, 95% CI 0.501-0.893, p=0.0064), and between peritonitis and a diagnosis of diabetes (HR=2.016, 95% CI 1.25-3.25, p=0.004). Conclusion: Patient survival and time on PD were similar between the planned- and urgent-start PD groups, while leakage was more frequently seen in the urgent-start PD group. Death was associated with lower albumin levels and older age, while peritonitis was associated with diabetes.-
Descrição: dc.descriptionUniversidade Estadual Paulista Júlio de Mesquita Filho Faculdade de Medicina, SP-
Descrição: dc.descriptionUniversidade Estadual Paulista Júlio de Mesquita Filho Faculdade de Medicina, SP-
Formato: dc.format27-35-
Idioma: dc.languagept_BR-
Relação: dc.relationJornal Brasileiro de Nefrologia-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectPeritoneal Dialysis-
Palavras-chave: dc.subjectPeritonitis-
Palavras-chave: dc.subjectRenal Replacement Therapy-
Título: dc.titleInfectious and mechanical complications in planned-start vs. urgent-start peritoneal dialysis: a cohort study-
Título: dc.titleComplicações infecciosas e mecânicas relacionadas à diálise peritoneal de início planejado vs. não planejado: um estudo de coorte-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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