Long-Term Peritoneal Dialysis in Infants

2007 ◽  
Vol 27 (2_suppl) ◽  
pp. 180-184
Author(s):  
Lesley Rees
Keyword(s):  
Peritoneal Dialysis ◽  
Enteral Feeding ◽  
Older Children ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Healthy Infants

Although the numbers of infants requiring dialysis are small, management of these patients presents many challenges. Mortality is high in infants with comorbidities, complications of dialysis are common, and most of these infants need enteral feeding. However, the long-term outcome for otherwise healthy infants is comparable to that for older children.

scholarly journals Residual hip dysplasia: is there a place for hip shelf operation?

2018 ◽  
Vol 12 (4) ◽  
pp. 358-363 ◽  
Author(s):  
T. Terjesen
Keyword(s):  
Periacetabular Osteotomy ◽  
Developmental Dysplasia ◽  
Hip Pain ◽  
Older Children ◽  
Long Term Effects ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Shelf Procedure ◽  
Shelf Operation

Purpose After modern acetabular osteotomies were introduced, hip shelf operations have become much less commonly used. The aims of this study were to assess the short-term and long-term outcome of a modified Spitzy shelf procedure and to compare the results with those of periacetabular osteotomy (PAO). Methods In all, 44 patients (55 hips) with developmental dysplasia of the hip and residual dysplasia had a modified Spitzy shelf operation. Mean age at surgery was 13.2 years (8 to 22). Indication for surgery was a centre-edge angle < 20° with or without hip pain. Outcome was evaluated using duration of painless period and survival analysis with conversion to total hip arthroplasty (THA) as endpoints. Results Preoperative hip pain was present in 46% of the hips and was more common in patients ≥ 12 years at surgery (p < 0.001). One year postoperatively, 93% of the hips were painless. Analysis of pain in hips with more than ten years follow-up showed a mean postoperative painless period of 20.0 years (0 to 49). In all, 44 hips (80%) had undergone THA at a mean patient age of 50.5 years (37 to 63). Mean survival of the shelf procedure (time from operation to THA) was 39.3 years (21 to 55). Conclusions The Spitzy operation had good short and long-term effects on hip pain and a 30-year survival (no THA) of 72% of the hips. These results compare favourably with those of PAO and indicate that there is still a place for the shelf procedure in older children and young adults.

Long-Term Outcome in Continuous Ambulatory Peritoneal Dialysis: A 10-Year Survey by the Italian Cooperative Peritoneal Dialysis Study Group

1994 ◽  
Vol 24 (5) ◽  
pp. 826-837 ◽  
Author(s):  
Antonio Lupo ◽  
Renzo Tarchini ◽  
Giovanni Cancarini ◽  
Luigi Catizone ◽  
Roberto Cocchi ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Study Group ◽  
Term Outcome ◽  
Long Term Outcome

scholarly journals Initial overcorrection after surgery for intermittent exotropia in children less than 4 years old: Comparison with older children

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257465
Author(s):  
Jinju Choi ◽  
Dong Gyu Choi
Keyword(s):  
Older Children ◽  
Intermittent Exotropia ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Age At Surgery ◽  
Angle Of Deviation ◽  
The Mean ◽  
The Relationship ◽  
Consecutive Esotropia

Purpose While initial overcorrection after exotropia-correcting surgery is widely accepted for a favorable long-term outcome, some have not advocated such overcorrection in younger children owing to concerns regarding rapid deterioration of bifixation ability. This study aimed to evaluate the relationship between initial overcorrection after intermittent exotropia surgery and the surgical outcome in patients aged <4 years. Methods In this retrospective study, 391 patients who had undergone surgery for intermittent exotropia were classified into two groups according to the age at surgery: <4 years old (group Y [young], 130 patients) and 4–16 years old (group O [old], 261). The patients were subdivided into three groups according to the angle of deviation at postoperative 1 week: esophoria-tropia (ET) ≥10 prism diopters (PD) (subgroup I), ET 1–9 PD (II), and orthotropia or exophoria-tropia (XT) (III). We compared the surgical outcomes between the two groups and among subgroups; then, we analyzed consecutive esotropia patients. Results The mean exodeviation was smaller in the order of subgroup I, II, and III at every postoperative visit (p<0.05) in group Y but showed no difference among subgroups after 2 years in group O. Consecutive esotropia occurred at 1 month, postoperatively, in 6.9% and 2.6% of the patients in groups Y and O (p = 0.133), respectively. However, it persisted in two and one patient in groups Y and O, respectively, until the last visit. Conclusion Early overcorrection after intermittent exotropia surgery was a safe and desirable result in terms of motor outcome in children aged under 4 years, as well as for children aged between 4–16 years.

Long-term outcome of peritoneal dialysis in infants

2000 ◽  
Vol 136 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Sarah E. Ledermann ◽  
Maria E. Scanes ◽  
Oswald N. Fernando ◽  
Patrick G. Duffy ◽  
Shelagh J. Madden ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Term Outcome ◽  
Long Term Outcome

Long-term Outcome of Continuous Ambulatory Peritoneal Dialysis

1986 ◽  
Vol 32 (1) ◽  
pp. 560-563 ◽  
Author(s):  
ALLEN R. NISSENSON ◽  
DOMINICK E. GENTILE ◽  
ROBERT E. SODERBLOM ◽  
CHARLENE BRAX
Keyword(s):  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Term Outcome ◽  
Long Term Outcome

Neutrophil to Lymphocyte Ratio as a Predictor of Long-Term Outcome in Peritoneal Dialysis Patients: A 5-Year Cohort Study

2021 ◽  
pp. 1-7
Author(s):  
Lin Zhang ◽  
Yuxin Nie ◽  
Man Guo ◽  
Li Wang ◽  
Yiqin Shi ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Cardiovascular Mortality ◽  
Cox Proportional Hazards Model ◽  
Older Age ◽  
Neutrophil To Lymphocyte Ratio ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Lymphocyte Ratio ◽  
All Cause Mortality

<b><i>Introduction:</i></b> The mortality of peritoneal dialysis (PD) patients remains high. The neutrophil to lymphocyte ratio (NLR), as an indicator of systemic inflammation, has been considered to be a predictor of cardiovascular and all-cause mortality in hemodialysis patients. The present study aims to investigate the relationship between NLR and long-term outcome in PD patients. <b><i>Materials and Methods:</i></b> The study included patients who initiated PD for at least 3 months between January 1, 2013, and December 31, 2015. All the patients were followed up until death, cessation of PD, or to the end of the study (June 31, 2018). NLR was calculated as the ratio of neutrophils to lymphocytes. <b><i>Results:</i></b> A total of 140 patients were included in this study. The median NLR reported was 2.87. Patients with lower NLR showed a higher survival rate than patients with higher NLR (log rank 6.886, <i>p</i> = 0.009). Furthermore, patients with higher NLR had a significantly higher cardiovascular mortality (log rank 5.221, <i>p</i> = 0.022). Multivariate Cox proportional hazards model showed that older age (HR 1.054, 95% CI 1.017–1.092, <i>p</i> = 0.004), higher Ca × P (HR 1.689, 95% CI 1.131–2.523, <i>p</i> = 0.010), and higher NLR (HR 2.603, 95% CI 1.037–6.535, <i>p</i> = 0.042) were independent predictors of increased all-cause mortality. NLR was also independently associated with cardiovascular mortality (HR 2.886, 95% CI 1.005–8.283, <i>p</i> = 0.039). Higher NLR (HR 2.667, 95% CI 1.333–5.337, <i>p</i> = 0.006), older age (HR 1.028, 95% CI 1.005–1.052, <i>p</i> = 0.016), and history of cardiovascular disease (HR 1.426, 95% CI 1.195–3.927, <i>p</i> = 0.031) were significantly independently associated with poor peritonitis-free survival in this study. <b><i>Conclusions:</i></b> NLR could be a strong predictor of long-term outcome in PD patients.

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