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Kidney Week

Abstract: SA-PO734

Are We Worried about Early Complications in Urgent-Start Peritoneal Dialysis?

Session Information

  • Peritoneal Dialysis - II
    November 04, 2017 | Location: Hall H, Morial Convention Center
    Abstract Time: 10:00 AM - 10:00 AM

Category: Dialysis

  • 608 Peritoneal Dialysis

Author

  • Vlasak, Jiri, Fresenius Medical Care, Sokolov, Czechia
Background

Urgent-start peritoneal dialysis is defined as initiation of peritoneal dialysis ( PD ) in patients with newly diagnosed end-stage renal disease ( ESRD ) who are not yet on dialysis and who require dialysis initiation less than two weeks after PD catheter placement, but do not require urgent hemodialysis. Theoretically, an increase in the incidence of peritoneal leaks could be assumed.

Methods

Since 2011 in our dialysis center eighty-nine patients have started peritoneal dialysis (PD) with laparoscopically introduced PD catheter. Fifteen of them have initiated urgent-start PD and peritoneal dialysis treatment was initiated with lower volumes of exchange. Seventy four of them started with PD conventional ( routinly 3-4 weeks after PD catheter placement ). We compared retrospectively these groups focusing on early complications - infections, leaks and catheter migration, both following catheter insertion and PD commencement ( within 4 weeks).

Results

Urgent-start patiens were more likely to be referred late, some of them were under the control of a nephrologist, but they experienced unexpected impairment of renal function. We did not record leaks in either group and only three patients from conventional started PD had early catheter migration. There were no infectious complications in either group.

Conclusion

Urgent-start peritoneal dialysis appears to be as safe as conventional ( planned ) peritoneal dialysis.