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Risk factors, management and outcomes for peritoneal dialysis access damage

Ruoxi Liao1, Xueli Zhou1, Xia Liu1

  • 1Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

Renal Failure
|November 11, 2024
PubMed

Insights

Peritoneal dialysis (PD) access damage can be reduced with catheter belts and retraining. Promptly clamp the catheter, use antibiotics, and contact your medical team if damage occurs.

Area of Science:

  • Nephrology
  • Dialysis Technology
  • Surgical Complications

Background:

  • Peritoneal dialysis (PD) is a vital renal replacement therapy.
  • PD access complications, such as damage, can disrupt treatment.
  • Understanding PD access damage is crucial for patient management.

Purpose of the Study:

  • To characterize PD access damage.
  • To identify risk and protective factors for PD access damage.
  • To evaluate management strategies and outcomes for PD access damage.

Main Methods:

  • Retrospective study of PD patients from January 2018 to January 2024.
  • Analysis of patient demographics, access damage details, and treatment records.
  • Multivariate logistic regression to identify risk and protective factors.

Main Results:

  • 45 patients experienced 49 PD access damage events.
  • Previous peritonitis and assisted PD were risk factors.
  • Catheter belt use and training frequency were protective factors.
  • Management included repair, replacement, or removal; most repaired accesses functioned well.

Conclusions:

  • Catheter belts and regular retraining help prevent PD access damage.
  • Patients should clamp the catheter and seek medical attention if damage occurs.
  • Standardized protocols are essential for managing PD access damage.
Abstract

Keywords:
Peritoneal dialysismanagementoutcomeperitoneal dialysis catheterrisk factor

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