Etiology of Severe Malnutrition: Results of an International Cross-Sectional Study in Continuous Ambulatory Peritoneal Dialysis Patients

1994 ◽  
Vol 23 (3) ◽  
pp. 412-420 ◽  
Author(s):  
Michael R. Jones
Keyword(s):  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Cross Sectional Study ◽  
Severe Malnutrition ◽  
Sectional Study ◽  
Dialysis Patients ◽  
Cross Sectional

Effect of Dialysis Modality and Membrane Transport Characteristics on Dialysate Protein Losses of Patients on Peritoneal Dialysis

1997 ◽  
Vol 17 (5) ◽  
pp. 449-454 ◽  
Author(s):  
Pranay Kathuria ◽  
Harold L. Moore ◽  
Ramesh Khanna ◽  
Zbylut J. Twardowski ◽  
Sharad Goel ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Membrane Transport ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Cross Sectional Study ◽  
Dialysis Modality ◽  
Test Results ◽  
Sectional Study ◽  
Peritoneal Equilibration Test ◽  
Cross Sectional ◽  
Individual Preferences

Objective To determine if peritoneal dialysis modality has an impact on protein losses in dialysate. Design Retrospective, cross-sectional study. Patients 190 patients who had selected peritoneal dialysis were classified into one of four transport categories (high, high-average, low-average, or low) based on standard peritoneal equilibration test results. Patients were then assigned to continuous ambulatory peritoneal dialysis (CAPD) or nightly intermittent peritoneal dialysis (NIPD) based on membrane transport characteristics and individual preferences. Results Patients with similar membrane transport characteristics had essentially no differences in dialysate protein and albumin losses whether treated with CAPD or NIPD. Conclusions Although high transporters may be better managed with short -dwell therapies such as nocturnal intermittent peritoneal dialysis or daily ambulatory peritoneal dialysis, consistent marked decreases in protein losses cannot be cited as a benefit of NIPD over CAPD.

Sevelamer Hydrochloride in Peritoneal Dialysis Patients: Results of a Multicenter Cross-Sectional Study

2007 ◽  
Vol 27 (6) ◽  
pp. 697-701 ◽  
Author(s):  
Rosa Ramos ◽  
Francesc Moreso ◽  
Mercè Borras ◽  
Esther Ponz ◽  
Joan M. Buades ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Ldl Cholesterol ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Serum Phosphate ◽  
Sectional Study ◽  
C Reactive Protein ◽  
Dialysis Patients ◽  
Cross Sectional ◽  
Reactive Protein

Background Sevelamer hydrochloride is a phosphate binder widely employed in hemodialysis patients. Until now, information about its efficacy and safety in peritoneal dialysis patients has been scarce. Patients and Methods In September 2005 a cross-sectional study of demographic, biochemical, and therapeutic data of patients from 10 peritoneal dialysis units in Catalonia and the Balearic Islands, Spain, was conducted. Results We analyzed data from 228 patients. At the time of the study, 128 patients (56%) were receiving sevelamer. Patients receiving sevelamer were younger ( p < 0.01), showed a longer period of time on dialysis ( p < 0.01), and had a lower Charlson Comorbidity Index ( p < 0.01). Serum calcium and intact parathyroid hormone levels were not different between the two groups, while phosphate levels <5.5 mg/dL were observed more frequently in patients not receiving sevelamer (79% vs 61%, p < 0.01). Serum total cholesterol (167 ± 41 vs 189 ± 42 mg/dL, p < 0.01) and low density lipoprotein (LDL) cholesterol (90 ± 34 vs 109 ± 34 mg/dL, p < 0.01), but not high density lipoprotein cholesterol or triglycerides, were lower in sevelamer-treated patients. Moreover, sevelamer-treated patients displayed a higher serum albumin (38 ± 5 vs 36 ± 4 g/L, p < 0.01) and a lower C-reactive protein (4.9 ± 12.8 vs 8.8 ± 15.7 mg/L, p < 0.01). Blood bicarbonate levels <22 mmol/L were observed more frequently in patients receiving sevelamer (22% vs 5%, p < 0.01). Logistic regression analysis adjusting by confounding variables confirmed that sevelamer therapy was associated with serum total cholesterol <200 mg/dL [relative risk (RR): 2.77, 95% confidence interval (CI): 1.44 – 5.26, p = 0.002] and blood bicarbonate <22 mmol/L (RR: 8.5, 95% CI: 2.6 – 27.0, p < 0.001), but not with serum phosphate >5.5 mg/dL, calcium–phosphate product >55 mg2/dL2, serum albumin <35 g/L, or C-reactive protein >5 mg/L. Conclusions This uncontrolled cross-sectional study in peritoneal dialysis patients showed that sevelamer hydro-chloride treatment allows an adequate serum phosphate level in about 60% of patients and significantly reduces total and LDL-cholesterol levels. Since this treatment is associated with metabolic acidosis in 22% of patients, we recommend close monitoring of bicarbonate levels in this group of patients until the clinical significance of this result is clarified.

scholarly journals FAKTOR-FAKTOR YANG BERKONTRIBUSI TERJADINYA PERITONITIS PADA PASIEN CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) DI RUMAH SAKIT UMUM Dr SAIFUL ANWAR MALANG

2010 ◽  
Vol 1 (2) ◽  
Author(s):  
Supono .
Keyword(s):  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Support System ◽  
Significant Relationship ◽  
Cross Sectional Study ◽  
Nutrition Status ◽  
Personal Hygiene ◽  
Sectional Study ◽  
Cross Sectional ◽  
System P

Faktor-Faktor Yang Berkontribusi Terjadinya Peritonitis pada Pasien Continuous Ambulatory Peritoneal Dialysis (CAPD) di Rumah Sakit Umum Dr Saiful Anwar MalangContributing Factors For Peritonitis Incidence On Continuous Ambulatory Peritoneal Dialysis (CAPD) Patients In Dr Saiful Anwar Malang HospitalSuponoProgram Studi Keperawatan Lawang Poltekkes Kemenkes MalangJl. A. Yani No 1 Lawang 65218e-mail: [email protected] ambulatory peritoneal dialysis (CAPD) adalah dialisis yang dilakukan melalui rongga peritonium (rongga perut) dengan selaput atau membran perutonium berfungsi sebagai filter. Tindakan CAPD dilakukan dengan insisi kecil pada dinding abdomen untuk pemasangan kateter, risiko komplikasi yang sering terjadi adalah infeksi pada peritonium (peritonitis). Tujuan penelitian untuk mengetahui hubungan faktor-faktor yang berkontribusi terjadinya peritonitis pada pasien CAPD di Rumah Sakit Umum Dr Saiful Anwar Malang Jawa Timur. Jenis penelitian deskkriptif korelasi dengan rancangan cross sectional study. Jumlah sampel penelitian 22 pasien peritonitis CAPD dan 13 perawat dialisis, dengan tehnik pengambilan sample menggunakan total sampling. Hasil penelitian menunjukan ada hubungan yang signifikan antara status nutrisi (p = 0,032), kemampuan perawatan (p = 0,024) dengan kejadian peritonitis pada pasien CAPD. Tidak ada hubungan yang signifikan antara umur (p = 0,702), jenis kelamin (p = 0,669), tingkat pendidikan (p = 0,771), penghasilan (p = 1,000), personal hygine (p = 0,387), support system (p = 1,000), fasilitas perawatan (p = 0,088), standar struktur (p = 0,203), standar proses (p = 0,559) dengan kejadian peritonitis pada pasien CAPD. Rekomendasi untuk perawat meningkatkan kunjungan rumah untuk memberikan pendidikan kesehatan tentang perawatan dialisis dan pengeloaan nutrisi seimbang. Saran untuk pasien diharapkan mengikuti prosedur standar perawatan yang telah diajarkan.Kata kunci: peritonitis, CAPD, perawat, pasien CAPDABSTRACTContinuous ambulatory peritoneal dialysis (CAPD) is a dialysis conducted through peritonium with perutonium membrane functions as a filter. CAPD procedure is conducted by making small incision on abdomen wall to insert catheter. Complication risk which often happens is the infection on peritoneum (peritonitis). The purpose of this research was to find out the relationship between contributing factors for peritonitis incidence on CAPD patients in Dr Saiful Anwar hospital in Malang, East Java. The type of this research was correlation descriptive cross sectional study design. The number of the sample were 22 peritonitis CAPD patients and 13 dialysis patients, using total sampling technique. The result showed that there was significant relationship between nutrition status (p = 0,032), treatment capability (p = 0,024) with peritonitis incidence on CAPD patients. There was no significant relationship between age (p = 0,702), sex or gender (p = 0,669), level of education (p = 0,771), income (p = 1,000), personal hygiene (p = 0,387), support system (p = 1,000), treatment facilities (p = 0,088), structure standard (p = 0,203), process standard (p = 0,559) with peritonitis incidence on CAPD patients. It is recommended to nurses to increase home visit to give health education about dialysis treatment and balanced nutrition management. It is also suggested to the patients to follow procedure for standard treatment which had been taught to them.Keywords: peritonitis, CAPD, nurse, CAPD patient

scholarly journals The relationship between anemia and Kt/V index in patients undergoing continuous ambulatory peritoneal dialysis and hemodialysis

2019 ◽  
Vol 9 (1) ◽  
pp. 06-06
Author(s):  
Boshra Hasanzamani ◽  
Mahin Ghorban Sabbagh
Keyword(s):  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Hemoglobin Concentration ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Dialysis Adequacy ◽  
Cross Sectional ◽  
Stage Renal Disease ◽  
End Stage ◽  
The Relationship

Introduction: Anemia in end-stage renal disease (ESRD) can cause serious problems for patients. Objectives: The present study was conducted to investigate whether the type or adequacy of dialysis can affect the incidence of anemia in these patients. Patients and Methods: This cross-sectional study was conducted on 57 patients with ESRD, who were referred to Qaem and Imam Reza hospitals, Mashhad, Iran. The patients were divided into two groups of continuous ambulatory peritoneal dialysis (CAPD) (n=37 patients) and hemodialysis (n=20 patients). Patients had no laboratory evidence of iron deficiency or hyperparathyroidism. Enrolled patients were received vitamin B12 and folic acid too. Hemoglobin concentration of under 11 mg/dL was considered as anemia. Adequacy of dialysis was evaluated by Kt/V index (>1.2 for hemodialysis and >1.7 per week for peritoneal dialysis). We compared different factors in these two groups, including anemia and Kt/V, and evaluated their relationship. Results: Around 27% and 65% of the patients on CAPD and hemodialysis were anemic respectively (P=0.005). Adequacy of dialysis in CAPD was acceptable in 81.1% of the cases, while target Kt/V was achieved in 50% of the patients on hemodialysis. Dialysis adequacy was significantly higher in patients receiving CAPD (P=0.014). No significant correlation between the incidence of anemia and Kt/V in both types of dialysis was found (P>0.05). Conclusion: Anemia was mostly observed in patients receiving hemodialysis as compared to CAPD. Regardless of the type of dialysis, adequacy of dialysis did not affect the incidence of anemia in any of the groups.

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