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Continuous ambulatory peritoneal dialysis

G Abraham, S Bhaskaran, P Soundarajan

    The Journal of the Association of Physicians of India
    |September 1, 1996
    PubMed
    Summary
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    Continuous ambulatory peritoneal dialysis (CAPD) provided renal replacement therapy for 55 patients, including those with Type II diabetes. While peritonitis occurred, the main dropout cause was death from coronary artery disease.

    Area of Science:

    • Nephrology
    • Internal Medicine

    Background:

    • Continuous ambulatory peritoneal dialysis (CAPD) is a renal replacement therapy option.
    • Many patients requiring dialysis have comorbidities, such as Type II diabetes, limiting transplantation eligibility.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of CAPD in a cohort of patients.
    • To assess the incidence of peritonitis and reasons for patient dropout.

    Main Methods:

    • A retrospective analysis of 55 patients undergoing CAPD for 666 patient months.
    • Patient demographics, comorbidities (including Type II diabetes), peritonitis rates, and dropout causes were recorded.

    Main Results:

    • The study included patients aged 1-83 years, with a majority over 50, often ineligible for transplantation.

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  • The peritonitis incidence was 1 episode per 20 patient months.
  • Twenty-five patients dropped out, primarily due to death from coronary artery disease; three patients received transplants.

    • Conclusions:

    • CAPD is a viable renal replacement therapy for a diverse patient group, including those with Type II diabetes and comorbidities.
    • Coronary artery disease poses a significant mortality risk in this CAPD population.
    • Careful patient selection and management are crucial for optimizing CAPD outcomes.