IR@PKUHSC  > 北京大学第一临床医学院  > 肾脏内科
学科主题临床医学
EXPERIENCES WITH ASSISTED PERITONEAL DIALYSIS IN CHINA
Xu, Rong1; Zhuo, Min1; Yang, Zhikai1; Dong, Jie1
关键词Assisted Peritoneal Dialysis Peritonitis Mortality
刊名PERITONEAL DIALYSIS INTERNATIONAL
2012
DOI10.3747/pdi.2010.00213
32期:1页:94-101
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Urology & Nephrology
研究领域[WOS]Urology & Nephrology
关键词[WOS]ELDERLY-PATIENTS ; UNITED-STATES ; DISEASE ; OCTOGENARIANS ; PREVENTION ; MORTALITY ; MODALITY ; REGISTRY ; PATIENT ; FAMILY
英文摘要

Objective: About half the patients on peritoneal dialysis (PD) in China need to be assisted by family members or home assistants. We explored whether these patients have a higher risk for peritonitis and death compared with self-care PD patients.

Methods: We prospectively followed 313 incident PD patients until death or censoring. This cohort was divided into assisted and self-care PD groups according to the independence of bag exchange. Data on baseline demographics, Charlson comorbidity index, biochemistry, and residual renal function were recorded during the first 3 - 6 months. The outcome variables were first episode of peritonitis and all-cause mortality.

Results: Of the 313 patients in this cohort study, 122 needed assistance in performing bag exchanges (86 from a family member, 36 from a home assistant); the remaining 191 patients did not need assistance. During a follow-up period averaging 44.5 months, 122 patients developed a first episode of peritonitis, and 135 patients died. Compared with patients having a family assistant, those with a home assistant had similar peritonitis-free and survival times, but a higher risk of mortality after adjustments for variables such as age, sex, Charlson comorbidity score, hemoglobin, serum albumin, and residual renal function. Furthermore, compared with self-care patients, assisted patients overall had a similar peritonitis-free time, but a higher risk of mortality, even after adjusting for covariates.

Conclusions: Based on our single-center experience in China, we conclude that assisted PD is a good option for patients with poor self-care ability. This result provides evidence for recruiting patients who need assistance to PD programs in China.

语种英语
WOS记录号WOS:000299996200015
引用统计
被引频次:19[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/51606
专题北京大学第一临床医学院_肾脏内科
作者单位1.Peking Univ, Inst Nephrol, Beijing 100034, Peoples R China
2.Minist Hlth China, Key Lab Renal Dis, Beijing, Peoples R China
3.Peking Univ, Hosp 1, Div Renal, Dept Med, Beijing 100034, Peoples R China
推荐引用方式
GB/T 7714
Xu, Rong,Zhuo, Min,Yang, Zhikai,et al. EXPERIENCES WITH ASSISTED PERITONEAL DIALYSIS IN CHINA[J]. PERITONEAL DIALYSIS INTERNATIONAL,2012,32(1):94-101.
APA Xu, Rong,Zhuo, Min,Yang, Zhikai,&Dong, Jie.(2012).EXPERIENCES WITH ASSISTED PERITONEAL DIALYSIS IN CHINA.PERITONEAL DIALYSIS INTERNATIONAL,32(1),94-101.
MLA Xu, Rong,et al."EXPERIENCES WITH ASSISTED PERITONEAL DIALYSIS IN CHINA".PERITONEAL DIALYSIS INTERNATIONAL 32.1(2012):94-101.
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