Complications and catheter survival with prolonged embedding of peritoneal dialysis catheters.

Complications and catheter survival with prolonged embedding of peritoneal dialysis catheters. Research Abstract Details 

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Complications and catheter survival with prolonged embedding of peritoneal dialysis catheters. Abstract Text:

BACKGROUND: Our centre uses a modification of the Moncrief technique of embedding peritoneal dialysis (PD) catheters. We undertook this study to test the hypothesis that catheter survival on PD is a function of the time a catheter is left embedded prior to use. METHODS: Data were retrospectively abstracted from review of patient records of those who received a first PD catheter over a 5-year period. Patients were divided into tertiles based on the number of days between insertion of the catheter and exteriorization to create three equal groups representing early (group 1, 11-47 days), mid (group 2, 48-133 days) and late (group 3, 134-2041 days) exteriorization strategies. RESULTS: 435 embedded PD catheters were inserted, 349 were exteriorized and total observation period was 5624 patient-months. Time to catheter loss was shortest in group 1 and longest in group 2 (P = 0.04). The overall rate of primary catheter failure was 6% and was significantly different in the three groups (6.9% in group 1, 1.7% in group 2 and 9.4% in group 3, P = 0.04). The time to first episode of peritonitis was longest in group 3 and shortest in group 1 (group 1 versus group 3, P = 0.009; group 2 versus group 3, P = 0.03). Adjusted peritonitis rates, however, were not different between the three groups. CONCLUSIONS: Mechanical complications and catheter loss are associated with the length of time a catheter is embedded. We recommend insertion 6 weeks to 5 months ahead of the need for PD to maximize catheter survival.

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Complications and catheter survival with prolonged embedding of peritoneal dialysis catheters. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Nephrology, dialysis, transplantation : official p

VOLUME: 23

Page Numbers: 2299-303

Journal Abbreviation: Nephrol. Dial. Transplant.

ISSN: 1460-2385

DAY: 16

MONTH: 02

YEAR: 2008

Complications and catheter survival with prolonged embedding of peritoneal dialysis catheters. Information

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LANGUAGE: eng

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AFFILIATION: Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada.

Country: England

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MEDLINETA: Nephrol Dial Transplant

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