Palabras clave
Diálisis peritoneal crónica
peritonitis
mortalidad.
peritonitis
mortalidad.
Cómo citar
1.
Camargo JA, Quiroz G, Méndez P, Castañeda M, Vargas JG, Achiardi RD, Echeverri JE. Factores de riesgo de mortalidad en pacientes que presentaron peritonitis en diálisis peritoneal crónica en el Hospital Militar Central de Bogotá. Rev. Colomb. Nefrol. [Internet]. 1 de julio de 2014 [citado 18 de mayo de 2024];1(2):92-7. Disponible en: https://revistanefrologia.org/index.php/rcn/article/view/180
Resumen
La diálisis peritoneal crónica (DPC) es una de las opciones más frecuentes de inicio de terapia de remplazo renal crónico en Colombia. La presencia de complicaciones inherentes a la terapia tiene baja incidencia, sin embargo, la peritonitis asociada con DPC se ha relacionado con el posterior cambio de modalidad terapéutica a hemodiálisis crónica y con aumento de las tasas de hospitalización. Se desarrolló un estudio de casos y controles con el fin de evaluar la mortalidad y posibles factores de riesgo asociados en los pacientes que presentaron peritonitis en DPC en el periodo comprendido entre el 1 de enero de 2010 y el 31 de diciembre de 2012.
Los factores de riesgo identificados para desarrollo de peritonitis y mortalidad no tuvieron significancia estadística. Los casos de peritonitis atribuidos a fatiga del cuidador, presentaron mayor riesgo de recurrencia y recaída de la peritonitis. En cuanto al riesgo de mortalidad se encontró que la probabilidad para la presentación de dicho desenlace fue 1,75 veces mayor en los hombres, 2.2 veces mayor en los pacientes mayores de 75 años, 3.5 veces mayor en los diabéticos y 5.6 veces más elevado en los pacientes hipertensos.
Citas
1. Davenport A. Peritonitis remains the major clinical complication of peritoneal dialysis: the London, UK, peritonitis audit 2002-2003. Perit Dial Int. 2009;29(3):297-302.
2. Nieto-Ríos JF, Díaz-Betancur JS, Arbeláez-Gómez M, et al. Peritoneal dialysis-related peritonitis: twenty-seven years of experience in a Colombian medical center. Nefrología. 2014;34(1):88-95.
3. Oo TN, Roberts TL, Collins AJ: A comparison of peritonitis rates from the United States Renal Data System database: CAPD versus continuous cycling peritoneal dialysis patients. Am J Kidney Dis 2005;45:372-380.
4. Lim WH, Johnson DW, McDonald SP: Higher rate and earlier peritonitis in Aboriginal patients compared to non-Aboriginal patients with end-stage renal failure maintained on peritoneal dialysis in Australia: Analysis of ANZDATA.
Nephrology (Carlton) 2005;10:192-197.
5. Nessim SJ, Bargman JM, Austin PC, et al. Predictors of peritonitis in patients on peritoneal dialysis: results of a large, prospective Canadian database. Clin J Am SocNephrol. 2009 Jul;4(7):1195-1200
.
6. Martín LC, Caramori JC, Fernández N, et al. Brazilian Peritoneal Dialysis Multicenter Study BRAZPD Group. Geographic and educational factors and risk of the first peritonitis episode in Brazilian Peritoneal Dialysis study (BRAZPD) patients. Clin J Am Soc Nephrol. 2011;6(8):1944-1951.
7. Li PK, Szeto CC, Piraino B, et al. International Society for Peritoneal Dialysis. Peritoneal dialysis-related infections recommendations: 2010 update. Perit Dial Int. 2010 Jul-Aug;30(4):393-423.
8. Stevens PE, Levin A; Kidney Disease: Improving Global Outcomes Chronic Kidney Disease Guideline Development Work Group Members. Evaluation and management of chronic kidney disease: synopsis of the kidney disease: improving global outcomes 2012 clinical practice guideline. Ann Intern Med. 2013;158(11):825-830.
9. Piraino B, Bailie GR, Bernardini J, et al. Peritoneal Dialysis- elated Infections. Recommendations 2005 UPDATE.
Perit Dial Int 2005;25:107-131.
10. Li PK, Law MC, Chow KM, et al. Comparison of clinical outcome and ease of handling in two double-bag systems in continuous ambulatory peritoneal dialysis: a prospective, randomized, controlled, multicenter study. Am J Kidney Dis 2002;40(2):373-380.
11. Strippoli GFM, Tong A, Johnson D, et al. Catheter-related interventions to prevent peritonitis in peritoneal dialysis: a systematic review of randomized controlled trials. J Am SocNephrol 2004;15(10):2735-2746.
12. Troidle L, Watnick S, Wuerth D, et al. Depression and its association with peritonitis in long-term peritoneal dialysis patients Am J Kidney Dis 2003;42:350-354.
13. Jager KJ, Merkus MP, Dekker FW, et al. NECOSAD Study Group: Mortality and technique failure in patients starting chronic peritoneal dialysis: Results of The Netherlands Cooperative Study on the Adequacy of Dialysis. Kidney Int 1999;55:1476-1485.
14. Johansen KL, Chertow GM, Jin C, Kutner NG: Significance of frailty among dialysis patients. J Am SocNephrol 2007;18:2960-2967.
15. Fang W, Qian J, Lin A, et al. Comparison of peritoneal dialysis practice patterns and outcomes between a Canadian and a Chinese Centre. Nephrol Dial Transplant 2008;23:4021-4028.
16. Hiramatsu M; Japanese Society for Elderly Patients on Peritoneal Dialysis: How to improve survival in geriatric peritoneal dialysis patients. Perit Dial Int 2007;27(S2):S185-S189.
17. Excell L, Livingston B, McDonald SP: ANZDATA Registry Report 2010, Adelaide, South Australia, Australia and New Zealand Dialysis and Transplant Registry, 2010.
18. Boudville N, Kemp A, Clayton P, et al. Recent peritonitis associates with mortality among patients treated with peritoneal dialysis. J Am SocNephrol 2012;23(8):1398-1405.
19. Sipahioglu MH, Aybal A, Unal A, et al. Patient and technique survival and factors affecting mortality on peritoneal dialysis in Turkey: 12 years’ experience in a single center. Perit Dial Int 2008;28:238-245.
20. Szeto CC, Kwan BC, Chow KM, et al. Repeat peritonitis in peritoneal dialysis: Retrospective review of 181 consecutive cases. Clin J Am Soc Nephrol 2011;6:827-833.
21. Pérez Fontan M, Rodríguez-Carmona A, García-Naveiro R, et al. Peritonitis-related mortality in patients undergoing chronic peritoneal dialysis. Perit Dial Int 2005;25:274-284.
2. Nieto-Ríos JF, Díaz-Betancur JS, Arbeláez-Gómez M, et al. Peritoneal dialysis-related peritonitis: twenty-seven years of experience in a Colombian medical center. Nefrología. 2014;34(1):88-95.
3. Oo TN, Roberts TL, Collins AJ: A comparison of peritonitis rates from the United States Renal Data System database: CAPD versus continuous cycling peritoneal dialysis patients. Am J Kidney Dis 2005;45:372-380.
4. Lim WH, Johnson DW, McDonald SP: Higher rate and earlier peritonitis in Aboriginal patients compared to non-Aboriginal patients with end-stage renal failure maintained on peritoneal dialysis in Australia: Analysis of ANZDATA.
Nephrology (Carlton) 2005;10:192-197.
5. Nessim SJ, Bargman JM, Austin PC, et al. Predictors of peritonitis in patients on peritoneal dialysis: results of a large, prospective Canadian database. Clin J Am SocNephrol. 2009 Jul;4(7):1195-1200
.
6. Martín LC, Caramori JC, Fernández N, et al. Brazilian Peritoneal Dialysis Multicenter Study BRAZPD Group. Geographic and educational factors and risk of the first peritonitis episode in Brazilian Peritoneal Dialysis study (BRAZPD) patients. Clin J Am Soc Nephrol. 2011;6(8):1944-1951.
7. Li PK, Szeto CC, Piraino B, et al. International Society for Peritoneal Dialysis. Peritoneal dialysis-related infections recommendations: 2010 update. Perit Dial Int. 2010 Jul-Aug;30(4):393-423.
8. Stevens PE, Levin A; Kidney Disease: Improving Global Outcomes Chronic Kidney Disease Guideline Development Work Group Members. Evaluation and management of chronic kidney disease: synopsis of the kidney disease: improving global outcomes 2012 clinical practice guideline. Ann Intern Med. 2013;158(11):825-830.
9. Piraino B, Bailie GR, Bernardini J, et al. Peritoneal Dialysis- elated Infections. Recommendations 2005 UPDATE.
Perit Dial Int 2005;25:107-131.
10. Li PK, Law MC, Chow KM, et al. Comparison of clinical outcome and ease of handling in two double-bag systems in continuous ambulatory peritoneal dialysis: a prospective, randomized, controlled, multicenter study. Am J Kidney Dis 2002;40(2):373-380.
11. Strippoli GFM, Tong A, Johnson D, et al. Catheter-related interventions to prevent peritonitis in peritoneal dialysis: a systematic review of randomized controlled trials. J Am SocNephrol 2004;15(10):2735-2746.
12. Troidle L, Watnick S, Wuerth D, et al. Depression and its association with peritonitis in long-term peritoneal dialysis patients Am J Kidney Dis 2003;42:350-354.
13. Jager KJ, Merkus MP, Dekker FW, et al. NECOSAD Study Group: Mortality and technique failure in patients starting chronic peritoneal dialysis: Results of The Netherlands Cooperative Study on the Adequacy of Dialysis. Kidney Int 1999;55:1476-1485.
14. Johansen KL, Chertow GM, Jin C, Kutner NG: Significance of frailty among dialysis patients. J Am SocNephrol 2007;18:2960-2967.
15. Fang W, Qian J, Lin A, et al. Comparison of peritoneal dialysis practice patterns and outcomes between a Canadian and a Chinese Centre. Nephrol Dial Transplant 2008;23:4021-4028.
16. Hiramatsu M; Japanese Society for Elderly Patients on Peritoneal Dialysis: How to improve survival in geriatric peritoneal dialysis patients. Perit Dial Int 2007;27(S2):S185-S189.
17. Excell L, Livingston B, McDonald SP: ANZDATA Registry Report 2010, Adelaide, South Australia, Australia and New Zealand Dialysis and Transplant Registry, 2010.
18. Boudville N, Kemp A, Clayton P, et al. Recent peritonitis associates with mortality among patients treated with peritoneal dialysis. J Am SocNephrol 2012;23(8):1398-1405.
19. Sipahioglu MH, Aybal A, Unal A, et al. Patient and technique survival and factors affecting mortality on peritoneal dialysis in Turkey: 12 years’ experience in a single center. Perit Dial Int 2008;28:238-245.
20. Szeto CC, Kwan BC, Chow KM, et al. Repeat peritonitis in peritoneal dialysis: Retrospective review of 181 consecutive cases. Clin J Am Soc Nephrol 2011;6:827-833.
21. Pérez Fontan M, Rodríguez-Carmona A, García-Naveiro R, et al. Peritonitis-related mortality in patients undergoing chronic peritoneal dialysis. Perit Dial Int 2005;25:274-284.
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