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Medicinski vjesnik, Vol.30 No.(3-4) Prosinac 1998.

Izvorni znanstveni članak

The impact of peritoneal dialysis adequacy on patient's survival

Marko Jakić
Sanja Stipanić
Goran Samardžija
Dubravka Mihaljević
Marijana Jakić
Jasminka Milas

Puni tekst: engleski, pdf (3 MB) str. 169-175 preuzimanja: 10* citiraj
APA
Jakić, M., Stipanić, S., Samardžija, G., Mihaljević, D., Jakić, M., Milas, J. (1998). The impact of peritoneal dialysis adequacy on patient's survival. Medicinski vjesnik, 30((3-4)), 169-175. Preuzeto s https://hrcak.srce.hr/192327
Puni tekst: hrvatski, pdf (3 MB) str. 169-175 preuzimanja: 9* citiraj
APA
Jakić, M., Stipanić, S., Samardžija, G., Mihaljević, D., Jakić, M., Milas, J. (1998). Utjecaj učinkovitosti peritonejske dijalize na preživljenje bolesnika. Medicinski vjesnik, 30((3-4)), 169-175. Preuzeto s https://hrcak.srce.hr/192327

Sažetak
In this paper the authors analyze the adequacy of peritoneal dialysis and the impact of dialysis adequacy on patients’ survival. Moreover, the authors present the results of treatment by peritoneal dialysis from 1986 to 1999. During this period 95 patients were treated by peritoneal dialysis: 29 of them died (30.53%), in 32 patients (33.68%) dialysis modality was changed to hemodialysis, 4 patients (4.21%) were lost in the follow-up period and one patient (1.05%) was transplanted. Finally, at the end of that period, 29 patients were treated by peritoneal dialysis (30.53%). Patients who died and patients who survived were not different in age either at the beginning of treatment (60.93±7.40 : 57.73±10.07 years; t=1.38, NS), or at the time of death or end of follow-up period (63.47±7.59 : 60.70±9.78 years; t=l.28, NS). Those two groups of patients were not different regarding duration of treatment (31.79±23.39 : 37.37±30.39 months; t=0.78, NS). Patients who survived had much less attacks of
peritonitis (one in 19.69±12.98 months, compared to one in 8.46±5.53 months of treatment for patients who died) (t=4.29, p<0.01); they had higher level of plasma albumin (34.60±4.83 : 31.33±3.66 g/1; t=2.51, p<0.05), total weekly Kt/V (2.00±0.23 : 1.83±0.27; t=2.11, p<0.05) and total weekly creatinine clearance (60.75±5.27 : 57.25±5.54 1/1.73 m2 body surface area;
t=2.04, p<0.05). Statistically significant correlation between the duration of dialysis treatment and three earlier described parameters was not observed. The authors conclude that patients who died during peritoneal dialysis treatment had more frequent attacks of peritonitis and lower urea and creatinine clearance than the patients
observed at the end of this period. Our results of peritoneal dialysis
treatment were worse than the results reported by others, in spite of good clearance results, suggesting that the adequacy of dialysis is not always a guarantee for patients’ survival.

Ključne riječi
peritoneal dialysis adequacy; patients’ survival

Hrčak ID: 192327

URI
https://hrcak.srce.hr/192327

[hrvatski]

Posjeta: 36 *