Peritoneal dyalisis: early predictors of late outcomes
Abstract
The aim of the study was to reveal the effect of some clinical and biochemical parameters, patient age and comorbide status on the late result of peritoneal dialysis (PD). 277 patients with ESRD were followed-up. The patients were divided into two groups: 148 patients with successful outcome (continued PD by the end of the follow-up period or those who had kidney transplantation) and unsuccessfully treated patients (died or those who was switched to HD). The late outcome was estimated by survival rate of patients and PD technique. Regression model of Cox was used for calculation of relative death risk. We show that the comorbidity index (M.E. Charlson) is a reliable predictor of the late outcome of PD. Unfavourable risk factors were high permeability of peritoneum and hypoalbuminemia in the beginning of the PD treatment. A decrease in albumin level by 1 g/l below 36 g/l increased the risk of death by a factor of 1,1. It was also shown that the survival rate for diabetics was much lower in comparison with non-diabetic patients.
About the Authors
A. M. Andrusev
Московский городской нефрологический центр, городская клиническая больница № 52, г. Москва
Russian Federation
Russian Federation
N. L. Titova
Московский городской нефрологический центр, городская клиническая больница № 52, г. Москва
Russian Federation
Russian Federation
B. T. Bikbov
Московский городской нефрологический центр, городская клиническая больница № 52, г. Москва
Russian Federation
Russian Federation
N. A. Tomilina
Московский городской нефрологический центр, городская клиническая больница № 52, г. Москва
Russian Federation
Russian Federation
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Review
For citations:
Andrusev A.M., Titova N.L., Bikbov B.T., Tomilina N.A. Peritoneal dyalisis: early predictors of late outcomes. Nephrology and Dialysis. 2003;5(4):362-368. (In Russ.)
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