Peritoneal Dialysis In Chronic Kidney Failure Research In Bach Mai Hospital: Advantages And Limitations

Abstract

Background: Peritoneal dialysis becomes one of the full methods of substitution renal therapy. The modern literature discussion is about the importance of predictors in the aspect of further development objective criteria for choosing the type of peritoneal dialysis and its start time. This is especially important for high-risk peritoneal dialysis patients.

 The main aim was an assessment of the treatment results with permanent peritoneal dialysis, identify the factors determining its outcomes.

 Materials and Methods: The retrospective cohort study on patients with chronic renal failure who were prescribed peritoneal dialysis was conducted. The observation was made in the kidney-urology department Bach Mai Hospital through medical records from January 1, 2017, to December 31, 2019. The patient’s gender division was: 46.15% males and 53.85% females, with the average age was 46.32±11.37 (for males) and 48.07 ±16.49 (for females).

 Results: Have been founded, 38.01% of patients started peritoneal dialysis over the age of 60 and 32.58% of patients aged 40-59. The majority of peritoneal dialysis patients had renal failure at grade IV (70.14%). The main cause of chronic kidney failure was chronic glomerulonephritis (75.11%), diabetes mellitus and kidney stones (8.6 and 8.1%). There were 116 cases having complications during peritoneal dialysis and complications of peritonitis accounted for the highest rate (50%). Cardiovascular disease, malnutrition, and stroke were main cause of mortality (25.0; 20.0; and 17.5%). The patients with baseline Hb levels ≥61 g/L had a higher mean survival time than patients with baseline Hb ≤60 g/l (P<0.05).

 Conclussions: The main reason for the cessation of peritoneal dialysis and the translation of patients on hemodialysis was dialysis peritonites. The initial anemia of the degree can be named as a predictor of higher mortality in patients on peritoneal dialysis. This can reflect the role of a low level of hemoglobin as a factor that aggresses the forecast of patients on peritoneal dialysis.