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Akari endo wikifeet1/11/2024 In general, the preparation for PD initiation was started in patients who reached stage 5 chronic kidney disease. The selection of operation was based on the rate of decline in renal function. In the SMAP method, the catheter was implanted under the skin and withdrawn to create an exit site 3–6 months after the operation for catheter implantation. All patients underwent PD catheter placement via open surgery using a stepwise initiation of PD as per the Moncrief and Popovich technique (SMAP) or direct method. The secondary outcome was the characterization of identified microorganisms.Ī total of 118 eligible cases were included in the final analysis. ![]() The primary outcome was PD-related peritonitis. The exclusion criterion was patients with a follow-up duration of <6 months. The inclusion criterion was patients aged ≥18 years. This is a single-center prospective observational study including patients who were introduced to PD and followed for >6 months from January 2017 to February 2021 in Tohoku Medical and Pharmaceutical University, Japan. We compared patient background characteristics, including subcutaneous and intra-abdominal fat and total fat areas as well as subcutaneous fat thickness, using preoperative computed tomography (CT) and intraoperative parameters, such as operation method and surgeon experience, between patients with and without PD-related peritonitis. ![]() In the present study, we aimed to determine the impact of preoperative factors on PD-related peritonitis in a prospective cohort study of patients who were introduced to PD and followed at our institution. Importantly, identification of preoperative risk factors for PD-related peritonitis is crucial to determine the timing of PD induction and to ensure its proper management. However, the impact of these factors on the outcomes of patients with PD-related peritonitis have not been fully established. Several modifiable and non-modifiable clinical variables, such as male and female sex, high body mass index (BMI), diabetes mellitus, and low serum albumin levels, have been reported as risk factors for PD-related peritonitis. In Japan, the incidence of PD-related peritonitis was 0.23 patient-years in 1996, according to a retrospective study, and one episode per 42.8 patient-months in a recent multicenter study from 2005 to 2008. PD-related peritonitis often leads to peritoneal dysfunction, catheter removal, transition to hemodialysis, progression to encapsulating peritoneal sclerosis, and death. However, several serious issues, including PD-related peritonitis, prevent its widespread use. Peritoneal dialysis (PD), an effective renal replacement therapy for patients with end-stage kidney disease (ESKD), has many advantages over hemodialysis. These characteristics might be useful in risk assessment and patient education before PD induction. Conclusions: Male patients with high subcutaneous fat who are living alone might be at higher risk of PD-related peritonitis. There were no significant differences in age, operation method, surgeon experience, previous abdominal surgery, medical history of diabetic nephropathy, serum albumin level, and renal function between the two groups. 94%, p = 0.02) was significantly lower in the peritonitis group than in the non-peritonitis group. 102 cm 2, p = 0.01) were significantly higher and the proportion of patients living with family members (75% vs. ![]() 22 kg/m 2, p = 0.04), and subcutaneous fat area (120 vs. ![]() Results: Among a total of 118 patients, 24 patients developed peritonitis. Furthermore, subcutaneous and abdominal fat volumes were evaluated using computed tomography. All peritonitis episodes during the study period were recorded, and preoperative and intraoperative clinical parameters were compared between patients with and without peritonitis to examine risk factors for PD-related peritonitis. Materials and Methods: This is a single-center prospective observational study. Thus, we aimed to determine the preoperative risk factors for PD-related peritonitis. However, preoperative risk factors for PD-related peritonitis have not been established. Background and Objectives: Peritoneal dialysis (PD)-related peritonitis is a critical problem.
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