Saade M, Joglar F
Renal Unit, Auxilio Mutuo Hospital, San Juan, Puerto Rico.
Perit Dial Int. 1995;15(1):37-41.
To analyze the clinical results of our patient population on continuous ambulatory peritoneal dialysis (CAPD) and continuous cycling peritoneal dialysis (CCPD) in relation to treatment modality systems, compliance, rehabilitation characteristics, complications, and survivals.
The medical records of all patients trained on CAPD or CCPD between 1985 and 1992 were reviewed for the above-mentioned outcome objectives.
Outpatient CAPD facility affiliated to a tertiary care community hospital.
The total of 305 patients trained during the study period were studied.
The patients were studied for age, sex, primary renal disease, peritoneal dialysis modality, need of assistance from a partner during the dialysis procedure, causes of transfer and hospitalization, peritonitis, rehabilitation, patient compliance, and outcome including mortality.
179 (58.7%) males and 126 (41.3%) females, aged 1-80 years (mean 47.2 +/- 15.09) with a total observation time of 15,753 patient-months. The most common diagnosis of the renal disease was diabetic nephropathy (41%). Peritonitis was the main cause of hospitalizations (36.7%) and of transfers (69.5%). Patient survival at one, two, and three years was 87.9%, 76.6%, and 67.0%, respectively. Likewise, technique survival was 65.5%, 45.5%, and 30.6%. Peritonitis rate for CAPD has improved from 1.9 episodes per patient-year to 1.2 episodes per patient-year and an overall rate of 1.5 episodes per patient-year.
The experience in a large Hispanic program shows a good patient survival rate. Although there is a trend to a lower peritonitis rate, this continues to be the main cause of transfer, hospitalization, and one of the main causes of death.
分析我们患者群体在持续性非卧床腹膜透析（CAPD）和持续性循环腹膜透析（CCPD）方面的临床结果，涉及治疗方式系统、依从性、康复特征、并发症及生存率。
回顾1985年至1992年间接受CAPD或CCPD培训的所有患者的病历，以评估上述结果目标。
一家三级医疗社区医院附属的门诊CAPD机构。
研究了研究期间接受培训的305名患者。
研究患者的年龄、性别、原发性肾脏疾病、腹膜透析方式、透析过程中是否需要伴侣协助、转院及住院原因、腹膜炎、康复情况、患者依从性以及包括死亡率在内的结局。
179名（58.7%）男性和126名（41.3%）女性，年龄1至80岁（平均47.2±15.09），总观察时间为15753患者月。肾脏疾病最常见的诊断是糖尿病肾病（41%）。腹膜炎是住院（36.7%）和转院（69.5%）的主要原因。1年、2年和3年的患者生存率分别为87.9%、76.6%和67.0%。同样，技术生存率分别为65.5%、45.5%和30.6%。CAPD的腹膜炎发生率已从每位患者每年1.9次发作降至每位患者每年1.2次发作，总体发生率为每位患者每年1.5次发作。
一个大型西班牙裔项目的经验显示出良好的患者生存率。尽管腹膜炎发生率有下降趋势，但它仍是转院、住院的主要原因以及主要死亡原因之一。
