Complications of Capd and Its Impact on Catheter Survival : A Single-Centre Study

Background : CAPD is a common treatment modality of end stage renal disease and has gained popularity worldwide. Aims and objectives: 1. To evaluate the various complications associated with CAPD in our centre. 2. To study its impact on catheter and patient survival. 3. To identify any preventable measure for improving catheter outcome and long term results. Methods : This is a Retrospective study conducted in the Department of Nephrology, GMCH, Assam , from O1-10-2021 to 30-09- 2023. A total Results: of 55 patients who opted for CAPD as a RRT modality were included in the study.Mean age of the patients were 58.12± 16.34 years. 38 patients were male and 17 patients were female. Diabetic Nephropathy was the leading cause of ESRD seen in 40% of our study population followed by Glomerulonephritis (25.45%), Hypertensive Nephropathy (18.18%), CIN (10.91%) and Obstructive Uropathy (5.45 %). At the end of 1 month of CAPD insertion, there were 7 episodes (12.73%) of catheter migration followed by 5 episodes (9.09%) of poor outow. At the end of 24 months, there were 11 episodes (20%) of peritonitis, 9 episodes (16.36%) of catheter malposition, 4 episodes (7.27%) of poor outow, 2 episodes (3.6%) of exit site infection, 1 episode (1.82%) each of pericatheter leakage and hydrothorax. Rate of peritonitis in our study was 0.1 episode per patient year. Overall, CAPD catheter survival was found to be 92.73% and patient survival was 96.36% at the end of 24 months. Conclusion : CAPD is a safe and convenient modality of RRT. The complications associated with CAPD in our set up are mostly infections and catheter malposition which can be prevented if proper care and approach is undertaken.