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Peritoneal access and related complications in continuous ambulatory peritoneal dialysis

, : Peritoneal access and related complications in continuous ambulatory peritoneal dialysis. American Journal of Medicine 74(4): 593-598

Over a 4-yr period, 50 patients underwent continuous ambulatory peritoneal dialysis. After 24 mo., 48% of the patients continued to receive continuous ambulatory peritoneal dialysis treatment (including those who underwent continuous ambulatory peritoneal dialysis with bottled solutions from 1977 to 1978). Using solutions in plastic bags, 63% of patients continued to undergo continuous ambulatory peritoneal dialysis after 24 mo. The mortality rate at 24 mo. was 23% overall and 15% for those using plastic bags. There was an overall average of 2.4 episodes of peritonitis per yr per patient and 1.3 episodes/yr per patient from 1979 to 1980, when only the technique with plastic bags was used. The number of days a patients was hospitalized averaged 48/yr, and 37 days/yr in 1979 and 1980. Of catheters, 55% remained functional at 24 mo. Other complications included 15 hernias, 15 skin and tunnel infections, 12 leaks and 5 cuff extrusions. Improved catheters and further reductions in the incidence of peritonitis will most likely result in a decreased number of patients who withdraw from continuous ambulatory peritoneal dialysis therapy.


PMID: 6837587

DOI: 10.1016/0002-9343(83)91016-1

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