Title

Outpatient Peritoneal Dialysis Initiation in Percutaneous Insertion of a Catheter by a Nephrologist

DOI

10.6221/AN.201812_32(4).0004

Authors

Hsuan-Jen Lin;Hung-Chih Chen;Chung-Chih Lin;Che-Yi Chou

Key Words

outpatient ; peel-away sheath ; tenckhoff catheter ; ultrasound-guided

PublicationName

Acta Nephrologica

Volume or Term/Year and Month of Publication

32卷4期(2018 / 12 / 01)

Page #

167 - 170

Content Language

英文

Chinese Abstract

BACKGROUND: Outpatient dialysis initiation is associated with better clinical outcomes. Outpatient-start peritoneal dialysis (PD) became possible with emerging urgent-start PD. We reported outcomes of our urgent-start PD in outpatient and inpatient settings. METHODS: All outpatient- and inpatient-start PD patients in Asia University Hospital between March 2017 and December 2018 were analyzed. Percutaneous catheter insertion followed an ultrasound-guided Seldinger technique in a ward-based procedure room. RESULTS: A total of 74 patients started PD in Asia University Hospital and 22 (29.7%) of them were outpatients. Patients' basal characteristics including uremic symptoms were not different between inpatients and outpatients. The outcomes including leaks (peri-catheter and others), catheter dysfunction and/or catheter migration, exit-site infections, and peritonitis were not different between the two groups. CONCLUSION: Outpatient PD initiation in PD catheter insertion by a nephrologist is an acceptable alternative for patients who develop uremic symptoms and do not want to stay in a hospital.

Topic Category 醫藥衛生 > 內科