Brunori G, Camerini C, Cancarini G, Manili L, Sandrini S, Movilli E, Galvani G, Maiorca R
University of Brescia, Italy.
Adv Perit Dial. 1992;8:71-4.
We studied morbidity in 648 patients treated in our center in a ten-year period as indicated by duration of hospitalization: 232 patients were on CAPD, 188 on hemodialysis (HD) and 228 had cadaveric kidney transplants (Tx). Duration of hospitalization was divided into four groups according to its causes. The age of the patients on CAPD was 61 +/- 14 years, 53 +/- 17 on HD and 36 +/- 10 in the Tx group. The total follow-up was 629 patient-year (p-y) on CAPD, 458 p-y on HD and 928 p-y on Tx. The first admission was longer on CAPD (30 +/- 18 days) and on Tx (36 +/- 18 days) than on HD (18 +/- 12). After the first admission, the total days of hospitalization (days/patient-year, d/p-y) were more for CAPD than HD and Tx. Analysis of these data showed that the difference was due to peritonitis and to the different percentage of elderly patients in the CAPD group. With a reduction in the incidence of infectious complications (peritonitis, tunnel or exit-site), hospitalization in CAPD could be reduced to a length of time similar to that currently needed by HD and Tx patients. This can result in important cost-saving.
我们研究了本中心在十年期间治疗的648例患者的发病率，以住院时间为指标：232例患者接受持续性非卧床腹膜透析（CAPD），188例接受血液透析（HD），228例接受尸体肾移植（Tx）。住院时间根据病因分为四组。接受CAPD治疗的患者年龄为61±14岁，接受HD治疗的患者年龄为53±17岁，接受Tx治疗的患者年龄为36±10岁。CAPD组的总随访时间为629患者年（p-y），HD组为458 p-y，Tx组为928 p-y。首次住院时间在CAPD组（30±18天）和Tx组（36±18天）比HD组（18±12天）更长。首次住院后，CAPD组的总住院天数（天/患者年，d/p-y）比HD组和Tx组更多。对这些数据的分析表明，差异是由于腹膜炎以及CAPD组老年患者的不同比例。随着感染并发症（腹膜炎、隧道或出口部位感染）发生率的降低，CAPD患者的住院时间可缩短至与目前HD和Tx患者所需时间相似的长度。这可以带来重要的成本节约。
