A randomized controlled comparative study of different fluid exchange modes in urgent-start peritoneal dialysis in patients with end-stage renal disease: automated peritoneal dialysis combined with manual fluid exchange vs. manual fluid exchange alone
During urgent-start peritoneal dialysis (USPD) in end-stage renal disease (ESRD) patients, both adequate dialysis and skill training for fluid exchange are essential. However, automated peritoneal dialysis (APD) alone or manual fluid exchange peritoneal dialysis (MPD) alone could meet the above dema...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Renal Failure |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/0886022X.2023.2202756 |
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| author | Xiaoxiao Xia Xueqin He Li Pu Xia Liu Xueli Zhou Xiao Fang Wu Zhiyun Zang Zi Li |
| author_facet | Xiaoxiao Xia Xueqin He Li Pu Xia Liu Xueli Zhou Xiao Fang Wu Zhiyun Zang Zi Li |
| author_sort | Xiaoxiao Xia |
| collection | DOAJ |
| description | During urgent-start peritoneal dialysis (USPD) in end-stage renal disease (ESRD) patients, both adequate dialysis and skill training for fluid exchange are essential. However, automated peritoneal dialysis (APD) alone or manual fluid exchange peritoneal dialysis (MPD) alone could meet the above demands. Therefore, our study combined APD with MPD (A-MPD), and compared A-MPD with MPD, aiming to find the most appropriate treatment mode. This was a single-center, prospective, randomized controlled study. All eligible patients were randomized into the MPD and A-MPD groups. All patients underwent a five-day USPD treatment 48 h after catheter implantation, and they were followed up for six months after discharge. Overall, 74 patients were enrolled in this study. Among these, 14 and 60 patients quit due to complications during USPD and completed the study (A-MPD = 31, MPD = 29), respectively. Compared with MPD, the A-MPD treatment mode had a better effect on removing serum creatinine, blood urea nitrogen, and potassium and improving serum carbon dioxide combining power levels; it had less time expenditure on the fluid exchange by nurses (p < 0.05). In addition, patients in the A-MPD group had higher scores on the skill tests than those in the MPD group (p = 0.002). However, no significant differences in short-term peritoneal dialysis (PD) complications, PD technical survival rate, or mortality were found between the two groups. Therefore, the A-MPD mode could be recommended as an adoptable and suitable PD modality for USPD in the future. |
| format | Article |
| id | doaj-art-4dc6b52b49f64589a71beef43b476fe2 |
| institution | Kabale University |
| issn | 0886-022X 1525-6049 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj-art-4dc6b52b49f64589a71beef43b476fe22025-08-20T03:53:07ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492023-12-0145110.1080/0886022X.2023.2202756A randomized controlled comparative study of different fluid exchange modes in urgent-start peritoneal dialysis in patients with end-stage renal disease: automated peritoneal dialysis combined with manual fluid exchange vs. manual fluid exchange aloneXiaoxiao Xia0Xueqin He1Li Pu2Xia Liu3Xueli Zhou4Xiao Fang Wu5Zhiyun Zang6Zi Li7Department of Nephrology, Sichuan University, West China Hospital, Chengdu, P.R. ChinaDepartment of Nephrology, Sichuan University, West China Hospital, Chengdu, P.R. ChinaDepartment of Nephrology, Sichuan University, West China Hospital, Chengdu, P.R. ChinaDepartment of Nephrology, Sichuan University, West China Hospital, Chengdu, P.R. ChinaDepartment of Nephrology, Sichuan University, West China Hospital, Chengdu, P.R. ChinaDepartment of Nephrology, Sichuan University, West China Hospital, Chengdu, P.R. ChinaDepartment of Nephrology, Sichuan University, West China Hospital, Chengdu, P.R. ChinaDepartment of Nephrology, Sichuan University, West China Hospital, Chengdu, P.R. ChinaDuring urgent-start peritoneal dialysis (USPD) in end-stage renal disease (ESRD) patients, both adequate dialysis and skill training for fluid exchange are essential. However, automated peritoneal dialysis (APD) alone or manual fluid exchange peritoneal dialysis (MPD) alone could meet the above demands. Therefore, our study combined APD with MPD (A-MPD), and compared A-MPD with MPD, aiming to find the most appropriate treatment mode. This was a single-center, prospective, randomized controlled study. All eligible patients were randomized into the MPD and A-MPD groups. All patients underwent a five-day USPD treatment 48 h after catheter implantation, and they were followed up for six months after discharge. Overall, 74 patients were enrolled in this study. Among these, 14 and 60 patients quit due to complications during USPD and completed the study (A-MPD = 31, MPD = 29), respectively. Compared with MPD, the A-MPD treatment mode had a better effect on removing serum creatinine, blood urea nitrogen, and potassium and improving serum carbon dioxide combining power levels; it had less time expenditure on the fluid exchange by nurses (p < 0.05). In addition, patients in the A-MPD group had higher scores on the skill tests than those in the MPD group (p = 0.002). However, no significant differences in short-term peritoneal dialysis (PD) complications, PD technical survival rate, or mortality were found between the two groups. Therefore, the A-MPD mode could be recommended as an adoptable and suitable PD modality for USPD in the future.https://www.tandfonline.com/doi/10.1080/0886022X.2023.2202756Automated peritoneal dialysismanual fluid exchange peritoneal dialysisurgent-start peritoneal dialysisend-stage renal disease |
| spellingShingle | Xiaoxiao Xia Xueqin He Li Pu Xia Liu Xueli Zhou Xiao Fang Wu Zhiyun Zang Zi Li A randomized controlled comparative study of different fluid exchange modes in urgent-start peritoneal dialysis in patients with end-stage renal disease: automated peritoneal dialysis combined with manual fluid exchange vs. manual fluid exchange alone Renal Failure Automated peritoneal dialysis manual fluid exchange peritoneal dialysis urgent-start peritoneal dialysis end-stage renal disease |
| title | A randomized controlled comparative study of different fluid exchange modes in urgent-start peritoneal dialysis in patients with end-stage renal disease: automated peritoneal dialysis combined with manual fluid exchange vs. manual fluid exchange alone |
| title_full | A randomized controlled comparative study of different fluid exchange modes in urgent-start peritoneal dialysis in patients with end-stage renal disease: automated peritoneal dialysis combined with manual fluid exchange vs. manual fluid exchange alone |
| title_fullStr | A randomized controlled comparative study of different fluid exchange modes in urgent-start peritoneal dialysis in patients with end-stage renal disease: automated peritoneal dialysis combined with manual fluid exchange vs. manual fluid exchange alone |
| title_full_unstemmed | A randomized controlled comparative study of different fluid exchange modes in urgent-start peritoneal dialysis in patients with end-stage renal disease: automated peritoneal dialysis combined with manual fluid exchange vs. manual fluid exchange alone |
| title_short | A randomized controlled comparative study of different fluid exchange modes in urgent-start peritoneal dialysis in patients with end-stage renal disease: automated peritoneal dialysis combined with manual fluid exchange vs. manual fluid exchange alone |
| title_sort | randomized controlled comparative study of different fluid exchange modes in urgent start peritoneal dialysis in patients with end stage renal disease automated peritoneal dialysis combined with manual fluid exchange vs manual fluid exchange alone |
| topic | Automated peritoneal dialysis manual fluid exchange peritoneal dialysis urgent-start peritoneal dialysis end-stage renal disease |
| url | https://www.tandfonline.com/doi/10.1080/0886022X.2023.2202756 |
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