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学科主题: 临床医学
题名:
EXPERIENCES WITH ASSISTED PERITONEAL DIALYSIS IN CHINA
作者: Xu, Rong1; Zhuo, Min1; Yang, Zhikai1; Dong, Jie1
关键词: Assisted peritoneal dialysis ; peritonitis ; mortality
刊名: PERITONEAL DIALYSIS INTERNATIONAL
发表日期: 2012
DOI: 10.3747/pdi.2010.00213
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/51606
Appears in Collections:北京大学第一临床医学院_肾脏内科_期刊论文

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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

Recommended Citation:
Xu, Rong,Zhuo, Min,Yang, Zhikai,et al. EXPERIENCES WITH ASSISTED PERITONEAL DIALYSIS IN CHINA[J]. PERITONEAL DIALYSIS INTERNATIONAL,2012,32(1):94-101.
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