alexa Urgent Peritoneal Dialysis Initiation: is it Better to
ISSN: 2165-8048

Internal Medicine: Open Access
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Research Article

Urgent Peritoneal Dialysis Initiation: is it Better to Wait a Few Days than to Use the Catheter Immediately After its Implantation? A Randomized Controlled Trial

Fernando Arturo Reyes-Marín1*, Damayanti Gómez-Villanueva2, Araceli Ballesteros-Santiago1 and Dante Amato2
1Hospital Regional, Hospital de Concentración, Instituto de Seguridad Social del Estado de México y Municipios (ISSEMYM) de Satélite, Mexico
2Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Tlalnepantla, México
*Corresponding Author : Fernando Arturo Reyes-Marín
Hospital Regional, Hospital de Concentración
Instituto de Seguridad Social del Estado de México y Municipios (ISSEMYM) de Satélite, Mexico
Tel: 55720521
Fax: 53437490
E-mail: [email protected]
Received March 28, 2014; Accepted May 28, 2014; Published June 3, 2014
Citation: Reyes-Marín FA, Gómez-Villanueva D, Ballesteros-Santiago A, Amato D (2014) Urgent Peritoneal Dialysis Initiation: is it Better to Wait a Few Days than to Use the Catheter Immediately After its Implantation? A Randomized Controlled Trial. Intern Med 4:159. doi:10.4172/2165-8048.1000159
Copyright: © 2014 Reyes-Marín FA et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Background: High-grade evidence for recommendations about the appropriate lag-time from implantation to utilization of the catheter regarding urgent PD is lacking. The objective of this study was to compare immediate and delayed utilization of the Tenckhoff catheter in urgent PD. Methods: 160 patients beginning urgent automated peritoneal dialysis (APD) were randomized into two groups of 80 patients each. In the immediate utilization group (I), the catheter was used immediately after the surgical implantation; in the delayed utilization group (D), the catheter began to be used 3-5 days after the surgical implantation. The catheter function and complications in the two groups were compared after a one-year follow-up. Results: Patients in I and D were aged 42.5±18.5 and 49.2±19.6 years and their BMI was 25±2.5 and 25±3 kg/m2, respectively. The lag-time from implantation to utilization of the catheter was shorter in I (4±2 h) than in D (79.5±35.7 h; p < 0.01). Both groups had similar frequency of overall complications: 10 patients (12.5%) in I and 12 patients (15%) in D developed catheter related complications within 12 months. Group I complications were leakage (2), migration (2), and peritonitis (2); group D complications were leakage (3), migration (4), and peritonitis (2). Actuarial survival of the catheter showed no differences between the two groups at one year. Conclusions: Immediate utilization of a surgically implanted Tenckhoff catheter is feasible and safe, since it is not associated with an increased frequency of complications.

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