Influence of peritoneal dialysis catheter type on dislocations and laxative use: a retrospective observational study

被引:1
作者
Sabiu, Gianmarco [1 ,2 ]
Heidempergher, Marco [1 ]
De Salvo, Cristina [1 ,2 ]
Orani, Maria Antonietta [1 ]
Tricella, Chiara [1 ,2 ]
Gallieni, Maurizio [1 ,2 ,3 ]
机构
[1] ASST Fatebenefratelli Sacco, Nephrol & Dialysis Unit, Milan, Italy
[2] Univ Milan, Sch Nephrol, Milan, Italy
[3] Univ Milan, Dept Biomed & Clin Sci, Via Giovanni Battista Grassi 74, I-20157 Milan, Italy
关键词
Peritoneal dialysis; Peritoneal catheter; Laxative; Drug burden; SELF-LOCATING CATHETER; EXPERIENCE; COMPLICATIONS;
D O I
10.1007/s40620-022-01329-6
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background There is currently no consensus regarding the optimal type of peritoneal dialysis (PD) catheter. Although few studies showed that weighted catheters result in lower complication rates and superior long-term outcomes than non-weighted catheters, there are no studies on the use of laxatives linked to catheter malfunction, a patient-related outcome potentially affecting the quality of life. Thus, we compared the burden of acute and chronic laxative use in a cohort of PD patients having either weighted or non-weighted catheters. Methods We performed a single-center, retrospective, observational study in two renal units, comparing acute and chronic laxative therapy related to catheter drainage failure in a cohort of 74 PD patient,s divided by peritoneal dialysis catheter type. In addition, we evaluated the number of patients who experienced minor and major dislocations, catheter-related infection rate, hospitalization for catheter malfunctioning, episodes of catheter repositioning, and dropout from PD. Results Laxative use was significantly more common among patients in the non-weighted catheter group (acute: 30.3% vs. 9.8%, p =0.03; chronic: 36.4% vs. 12.2%; p<0.02). Furthermore, weighted catheters were superior to non-weighted catheters for all the secondary outcomes (dislocations: 12.2% vs. 45.5%; p = 0.001). Conclusions Weighted self-locating catheters have lower drainage failure, thus reducing the need and burden of acute and chronic laxative use among PD patients. [GRAPHICS] .
引用
收藏
页码:1497 / 1503
页数:7
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