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Related Experiment Videos

Continuous ambulatory peritoneal dialysis: a three year experience.

D J Tsakiris, W G Smith, J D Briggs

    Scottish Medical Journal
    |April 1, 1986
    PubMed
    Summary

    Continuous ambulatory peritoneal dialysis (CAPD) offers good patient survival and technique success for end-stage renal failure. CAPD patients maintained satisfactory biochemical control and blood pressure on a liberal diet, with many able to work.

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    Area of Science:

    • Nephrology
    • Renal Medicine
    • Dialysis Therapy

    Background:

    • End-stage renal failure (ESRF) necessitates renal replacement therapy.
    • Continuous ambulatory peritoneal dialysis (CAPD) is a treatment option for ESRF patients.
    • Evaluating the long-term outcomes of CAPD is crucial for patient management.

    Purpose of the Study:

    • To assess patient survival and technique success rates of CAPD.
    • To evaluate the efficacy of CAPD in biochemical and blood pressure control.
    • To identify common complications and their impact on hospitalization in CAPD patients.

    Main Methods:

    • A prospective study of 66 patients with ESRF commencing CAPD over three years.
    • Monitoring of patient survival and technique success rates.

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  • Assessment of biochemical parameters, blood pressure, and complication rates.

    • Main Results:

    • Two-year patient survival was 86%, and technique success was 64%.
    • Satisfactory biochemical and blood pressure control was achieved with a liberal diet, often without antihypertensive medication.
    • Common complications included peritonitis, catheter obstruction, postural hypotension, and weight gain, contributing to a mean hospitalization of 33 days per patient annually.

    Conclusions:

    • CAPD demonstrates favorable patient survival and technique success in ESRF.
    • CAPD facilitates good metabolic and hemodynamic control, allowing for a liberal diet.
    • Despite complications, a significant proportion of patients, including older individuals and diabetics, remained employed.