Division of Nephrology, The Second Hospital of Jilin University, Changchun, China.
Division of Nephrology, The First Hospital of Jilin University-the Eastern Division, Changchun, China.
Ther Apher Dial. 2023 Apr;27(2):304-313. doi: 10.1111/1744-9987.13907. Epub 2022 Jul 11.
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.
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.
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).
Starting PD within 24 h after PD catheter insertion was feasible in elderly ESRD patients.
一些终末期肾病（ESRD）老年患者需要紧急开始腹膜透析（USPD）。本研究旨在确定老年患者行 USPD 时，24 小时内开始透析（BI）是否可行。
对五家医院的 PD 患者进行筛选。将患者分为 BI≤24 小时和 BI＞24 小时两组。比较两组患者的并发症。采用多变量 logistic 回归模型确定 BI≤24 小时与并发症是否相关。
共纳入 175 例老年患者：BI≤24 小时组 78 例，BI＞24 小时组 97 例。两组并发症发生率无显著差异（均 P＞0.05）。此外，BI≤24 小时不是并发症的独立危险因素（均 P＞0.05）。
在 PD 导管插入后 24 小时内开始 PD 对老年 ESRD 患者是可行的。
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