Safety of a 24‐h‐or‐less break‐in period in elderly patients undergoing urgent‐start peritoneal dialysis: A multicenter retrospective cohort study. Issue 2 (11th July 2022)

• Record Type: Journal Article
• Authors: Cheng, Siyu; Yang, Liming; Sun, Zhanshan; Zhang, Xiaoxuan; Zhu, Xueyan; Meng, Lingfei; Guo, Shizheng; Zhuang, Xiaohua; Luo, Ping; Cui, Wenpeng
• Is Part Of: Therapeutic apheresis and dialysis. Volume 27:Issue 2(2023)
• Page Start: 304
• Page End: 313
• Publication Date: 2022-07-11
• Subjects: break‐in period -- elderly patients -- end‐stage renal disease -- peritoneal dialysis -- urgent start; Hemapheresis -- Periodicals; Dialysis -- Periodicals; Blood Component Removal -- Periodicals; Renal Dialysis -- Periodicals; Hémaphérèse -- Périodiques; Dialyse -- Périodiques; Sang -- Collecte et conservation -- Périodiques; 616
• DOI: 10.1111/1744-9987.13907
• Languages: English
• ISSNs: 1744-9979

Abstract

Abstract: Background: Several elderly patients with end‐stage renal disease (ESRD) had to undergo urgent‐start peritoneal dialysis (USPD). This study aimed to determine whether break‐in period (BI) within 24 h was feasible in elderly patients undergoing USPD. Methods: Patients with ESRD who underwent PD at five hospitals were screened. Patients were divided into the BI ≤24 h and >24 h groups. Complications were compared between the two groups. Multivariate logistic regression model was used to determine whether BI ≤24 h was associated with complications. Results: A total of 175 elderly patients were included: BI ≤24 h group, 78; and BI >24 h group, 97. There was no significant difference in the rate of complications between the two groups (all p > 0.05). Furthermore, BI ≤24 h was not an independent risk factor for complications (all p > 0.05). Conclusions: Starting PD within 24 h after PD catheter insertion was feasible in elderly ESRD patients.