Outcomes of early‐start peritoneal dialysis (PD) and the comparison with urgent‐start hemodialysis and conventional‐start PD. Issue 3 (4th November 2022)

• Record Type: Journal Article
• Authors: Yeter, Hasan Haci; Izgi, Aybuke; Yildirim, Saliha; Akcay, Omer Faruk; Derici, Ulver
• Is Part Of: Therapeutic apheresis and dialysis. Volume 27:Issue 3(2023)
• Page Start: 480
• Page End: 487
• Publication Date: 2022-11-04
• Subjects: early‐start dialysis -- hemodialysis -- peritoneal dialysis -- technique survival; Hemapheresis -- Periodicals; Dialysis -- Periodicals; Blood Component Removal -- Periodicals; Renal Dialysis -- Periodicals; Hémaphérèse -- Périodiques; Dialyse -- Périodiques; Sang -- Collecte et conservation -- Périodiques; 616
• DOI: 10.1111/1744-9987.13945
• Languages: English
• ISSNs: 1744-9979

Abstract

Abstract: Background: Limited data in the literature is comparing early‐start peritoneal dialysis (PD), urgent‐start hemodialysis (HD) with the jugular central venous catheter (CVC), and conventional‐start PD. Methods: This retrospective study was conducted with 148 patients with early‐start PD, 104 patients with conventional‐start PD, and 100 patients with urgent‐start HD. Early‐start PD was defined as catheter break‐in time between 3 and 14 days. Results: The occurrence of dialysate‐leakage was similar between PD groups ( p = 0.1). Bleeding at the catheter site was detected in 8 (2.3%) patients with CVC. There was no significant difference in catheter dysfunction and revision. PD groups had statistically similar peritonitis rates ( p = 0.5). 19% (19/100) of patients suffered CVC‐related bloodstream infection and one patient died due to septic shock. Technique survival was significantly higher at early‐start PD than the conventional‐start PD at 6 months ( p = 0.02). Conclusion: Initiating early‐start PD is comparable with conventional‐start PD, and it may be an alternative dialysis modality to avoid bloodstream infections in suitable patients.