Why the study?
Several elderly patients with ESRD require urgent-start peritoneal dialysis, but whether a break-in period within 24 hours is feasible in this population was unknown.
Does a break-in period of ≤24 h increase complications in elderly patients undergoing urgent-start peritoneal dialysis compared to >24 h?
Does a break-in period of ≤24 h increase complications in elderly patients undergoing urgent-start peritoneal dialysis compared to >24 h?
Starting peritoneal dialysis within 24 hours of catheter insertion appears safe and feasible in elderly patients with ESRD.
May support 24-h break-in in elderly USPD; hypothesis-generating, needs prospective trials before practice change.
BACKGROUND: Several elderly patients with end-stage renal disease (ESRD) had to undergo urgent-start peritoneal dialysis (USPD). This study aimed to determine whether break-in period (BI) within 24 h was feasible in elderly patients undergoing USPD. METHODS: Patients with ESRD who underwent PD at five hospitals were screened. Patients were divided into the BI ≤24 h and >24 h groups. Complications were compared between the two groups. Multivariate logistic regression model was used to determine whether BI ≤24 h was associated with complications. RESULTS: A total of 175 elderly patients were included: BI ≤24 h group, 78; and BI >24 h group, 97. There was no significant difference in the rate of complications between the two groups (all p > 0.05). Furthermore, BI ≤24 h was not an independent risk factor for complications (all p > 0.05). CONCLUSIONS: Starting PD within 24 h after PD catheter insertion was feasible in elderly ESRD patients.
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Cheng et al. (2022) studied this question.
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