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Abstract
Introduction: Training is essential to ensure the success of peritoneal dialysis. Objective: Assess the relationship between learning time and the appearance of the first episode of peritonitis, comparing between young and older patients. Material and Method: Observational, retrospective study. Trained patients were included between January 1, 2014 and December 31, 2018, in the University Assistance Complex of León. Demographic variables, level of autonomy, training time, first peritonitis and causative germ were studied. The cut-off point to differentiate between young and older was 70 years. The data was obtained from the unit's databases. Results: 112 patients were studied, 68% men, mean age 62.68 ± 15.69 years, 40% over 70 years, 82% were autonomous to perform dialysis. The average training hours were 14.82±6.55; older 18.13±7.93 hours, younger 12.73±4.27, (p=0.004). 25% had peritonitis, 64% for Gram+ germs. The mean appearance of the first episode was 266 ± 283 days. It takes 84 days less for the older patients to have peritonitis. Conclusions: Although more peritonitis appeared in patients who needed more training hours, no significant differences were found. Older patients need more time to complete the training and the first episode of peritonitis appears earlier.
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References
- Bernardini J, Price V, Figueiredo A. Pautas/Recomendaciones de la ISPD. Capacitación de pacientes en Dialisis Peritoneal. Perit Dial Int 2006;26:625-32. DOI: https://doi.org/10.1177/089686080602600602
- Granado A, Ruiz C, Arrieta J. Adiestramiento del paciente que se incorpora a diálisis peritoneal: Visitas domiciliarias. Reentrenamiento. Nefrología. 2006;26(Supl 4):S57-66.
- Hurst H, Figueiredo AE. The needs of older patients for peritoneal dialysis: Training and support at home. Perit Dial Int. 2015;35(6):625-9. DOI: https://doi.org/10.3747/pdi.2014.00337
- Registro Español de Enfermos Renales 2017 [Internet]. [Consultado 28 jun 2019]. Disponible en: https://www.senefro.org/contents/webstructure/Informe_REER_2017.pdf.
- Brown EA, Johansson L. Dialysis Options for End-Stage Renal Disease in Older People. Nephron Clin Pr. 2011;119(1):10-3. DOI: https://doi.org/10.1159/000328019
- Figueiredo AE, De Moraes TP, Bernardini J, Poli-De-Figueiredo CE, Barretti P, Olandoski M, et al. Impact of patient training patterns on peritonitis rates in a large national cohort study. Nephrol Dial Transplant. 2015;30(1):137-42. DOI: https://doi.org/10.1093/ndt/gfu286
- Li PK-T, Szeto CC, Piraino B, de Arteaga J, Fan S, Figueiredo AE, et al. ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment. Perit Dial Int. 2016;36(5):481-508. DOI: https://doi.org/10.3747/pdi.2016.00078
- Piraino B, Bailie GR, Bernardini J, Boeschoten E, Gupta A, Holmes C, et al. Pautas/recomendaciones de la ispd recomendaciones para las infecciones relacionadas con diálisis peritoneal: actualización 2005. Perit Dial Int 2005;25(2):107-31. DOI: https://doi.org/10.1177/089686080502500203
- Bernardini J, Price V, Figueiredo A, Riemann A, Leung D. International survey of peritoneal dialysis training programs. Perit Dial Int. 2006;6:658-63. DOI: https://doi.org/10.1177/089686080602600609
- Bordin G, Casati M, Sicolo N, Zuccherato N, Eduati V. Patient Education in Peritoneal Dialysis: an Observational Study in Italy. J Ren Care. 2007;33(4):165-71. DOI: https://doi.org/10.1111/j.1755-6686.2007.tb00067.x
- Segall L, Nistor I, Van Biesen W, Brown EA, Heaf JG, Lindley E, et al. Dialysis modality choice in elderly patients with end-stage renal disease: a narrative review of the available evidence. Nephrol Dial Transplant. 2017;32(1):41-9.
- Zhang L, Hawley CM, Johnson DW. Focus on peritoneal dialysis training: Working to decrease peritonitis rates. Nephrol Dial Transplant. 2016; 31(2):214-22. DOI: https://doi.org/10.1093/ndt/gfu403
- Campbell DJ, Johnson DW, Mudge DW, Gallagher MP, Craig JC. Prevention of peritoneal dialysis-related infections. Nephrol Dial Transpl. 2015;30:1461-72. DOI: https://doi.org/10.1093/ndt/gfu313
- Fan X, Huang R, Wang J, Ye H, Guo Q, Yi C, et al. Risk factors for the first episode of peritonitis in Southern Chinese continuous ambulatory peritoneal dialysis patients. PLoS One. 2014;9(9):e107485. DOI: https://doi.org/10.1371/journal.pone.0107485
- Portolés J, Janeiro D, Lou-Arnal LM, López-Sánchez P, Ortega M, del Peso G et al. Primer episodio de infección peritoneal: descripción y factores pronósticos. Nefrología. 2013;33(3):316-24.
- Lim WH, Dogra GK, McDonald SP, Brown FG, Johnson DW. Compared with younger peritoneal dialysis patients, elderly patients have similar peritonitis-free survival and lower risk of technique failure, but higher risk of peritonitis-related mortality. Perit Dial Int. 2011;31(6):663-71.
- Johnson D, Cho Y, Mehrotra R. Is female sex really a risk factor for infectious death in peritoneal dialysis? Perit Dial Int. 2013;33(5):475-8. DOI: https://doi.org/10.3747/pdi.2013.00191
- Szeto CC. Peritoneal dialysis-related infection in the older population. Perit Dial Int. 2015;35(6):659-62. DOI: https://doi.org/10.3747/pdi.2014.00348
- Dong J, Chen Y. Impact of the bag exchange procedure on risk of peritonitis. Perit Dial Int. 2010;30(4):440-7. DOI: https://doi.org/10.3747/pdi.2009.00117
- Li PK-T, Law MC, Chow KM, Leung C-B, Kwan BC-H, Chung KY, et al. Good patient and technique survival in elderly patients on continuous ambulatory peritoneal dialysis. Perit Dial Int. 2007;27(2):196-201. DOI: https://doi.org/10.1177/089686080702702s34
- Lim WH, Dogra GK, McDonald SP, Brown FG, Johnson DW. Compared with younger peritoneal dialysis patients, elderly patients have similar peritonitis-free survival and lower risk of technique failure, but higher risk of peritonitis-related mortality. Perit Dial Int. 2011;31(6):663-71. DOI: https://doi.org/10.3747/pdi.2010.00209
References
Bernardini J, Price V, Figueiredo A. Pautas/Recomendaciones de la ISPD. Capacitación de pacientes en Dialisis Peritoneal. Perit Dial Int 2006;26:625-32. DOI: https://doi.org/10.1177/089686080602600602
Granado A, Ruiz C, Arrieta J. Adiestramiento del paciente que se incorpora a diálisis peritoneal: Visitas domiciliarias. Reentrenamiento. Nefrología. 2006;26(Supl 4):S57-66.
Hurst H, Figueiredo AE. The needs of older patients for peritoneal dialysis: Training and support at home. Perit Dial Int. 2015;35(6):625-9. DOI: https://doi.org/10.3747/pdi.2014.00337
Registro Español de Enfermos Renales 2017 [Internet]. [Consultado 28 jun 2019]. Disponible en: https://www.senefro.org/contents/webstructure/Informe_REER_2017.pdf.
Brown EA, Johansson L. Dialysis Options for End-Stage Renal Disease in Older People. Nephron Clin Pr. 2011;119(1):10-3. DOI: https://doi.org/10.1159/000328019
Figueiredo AE, De Moraes TP, Bernardini J, Poli-De-Figueiredo CE, Barretti P, Olandoski M, et al. Impact of patient training patterns on peritonitis rates in a large national cohort study. Nephrol Dial Transplant. 2015;30(1):137-42. DOI: https://doi.org/10.1093/ndt/gfu286
Li PK-T, Szeto CC, Piraino B, de Arteaga J, Fan S, Figueiredo AE, et al. ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment. Perit Dial Int. 2016;36(5):481-508. DOI: https://doi.org/10.3747/pdi.2016.00078
Piraino B, Bailie GR, Bernardini J, Boeschoten E, Gupta A, Holmes C, et al. Pautas/recomendaciones de la ispd recomendaciones para las infecciones relacionadas con diálisis peritoneal: actualización 2005. Perit Dial Int 2005;25(2):107-31. DOI: https://doi.org/10.1177/089686080502500203
Bernardini J, Price V, Figueiredo A, Riemann A, Leung D. International survey of peritoneal dialysis training programs. Perit Dial Int. 2006;6:658-63. DOI: https://doi.org/10.1177/089686080602600609
Bordin G, Casati M, Sicolo N, Zuccherato N, Eduati V. Patient Education in Peritoneal Dialysis: an Observational Study in Italy. J Ren Care. 2007;33(4):165-71. DOI: https://doi.org/10.1111/j.1755-6686.2007.tb00067.x
Segall L, Nistor I, Van Biesen W, Brown EA, Heaf JG, Lindley E, et al. Dialysis modality choice in elderly patients with end-stage renal disease: a narrative review of the available evidence. Nephrol Dial Transplant. 2017;32(1):41-9.
Zhang L, Hawley CM, Johnson DW. Focus on peritoneal dialysis training: Working to decrease peritonitis rates. Nephrol Dial Transplant. 2016; 31(2):214-22. DOI: https://doi.org/10.1093/ndt/gfu403
Campbell DJ, Johnson DW, Mudge DW, Gallagher MP, Craig JC. Prevention of peritoneal dialysis-related infections. Nephrol Dial Transpl. 2015;30:1461-72. DOI: https://doi.org/10.1093/ndt/gfu313
Fan X, Huang R, Wang J, Ye H, Guo Q, Yi C, et al. Risk factors for the first episode of peritonitis in Southern Chinese continuous ambulatory peritoneal dialysis patients. PLoS One. 2014;9(9):e107485. DOI: https://doi.org/10.1371/journal.pone.0107485
Portolés J, Janeiro D, Lou-Arnal LM, López-Sánchez P, Ortega M, del Peso G et al. Primer episodio de infección peritoneal: descripción y factores pronósticos. Nefrología. 2013;33(3):316-24.
Lim WH, Dogra GK, McDonald SP, Brown FG, Johnson DW. Compared with younger peritoneal dialysis patients, elderly patients have similar peritonitis-free survival and lower risk of technique failure, but higher risk of peritonitis-related mortality. Perit Dial Int. 2011;31(6):663-71.
Johnson D, Cho Y, Mehrotra R. Is female sex really a risk factor for infectious death in peritoneal dialysis? Perit Dial Int. 2013;33(5):475-8. DOI: https://doi.org/10.3747/pdi.2013.00191
Szeto CC. Peritoneal dialysis-related infection in the older population. Perit Dial Int. 2015;35(6):659-62. DOI: https://doi.org/10.3747/pdi.2014.00348
Dong J, Chen Y. Impact of the bag exchange procedure on risk of peritonitis. Perit Dial Int. 2010;30(4):440-7. DOI: https://doi.org/10.3747/pdi.2009.00117
Li PK-T, Law MC, Chow KM, Leung C-B, Kwan BC-H, Chung KY, et al. Good patient and technique survival in elderly patients on continuous ambulatory peritoneal dialysis. Perit Dial Int. 2007;27(2):196-201. DOI: https://doi.org/10.1177/089686080702702s34
Lim WH, Dogra GK, McDonald SP, Brown FG, Johnson DW. Compared with younger peritoneal dialysis patients, elderly patients have similar peritonitis-free survival and lower risk of technique failure, but higher risk of peritonitis-related mortality. Perit Dial Int. 2011;31(6):663-71. DOI: https://doi.org/10.3747/pdi.2010.00209