Application of automated peritoneal dialysis in urgent-start peritoneal dialysis patients during the break-in period

摘要

Abstract Objective Whether automated peritoneal dialysis (APD) is a feasible strategy for urgent-start peritoneal dialysis (PD) therapy during the break-in period remains unclear. This study was conducted to compare the efficacy as well as complications among three PD modes during the break-in period. Methods Ninety-six patients treated with urgent-start PD after catheterization were retrospectively analyzed. Patients were divided into three groups, incremental continuous ambulatory PD (CAPD) group ( n ?=?26); APD group ( n ?=?42); and APD–CAPD group ( n ?=?28). Clinical parameters at the end of the break-in period and 1?month after the initiation of PD treatment were collected and analyzed. Results Compared with the traditional incremental CAPD, APD and APD–CAPD were superior as they could effectively remove small-molecule uremic toxins and correct electrolyte imbalance ( P ? P ?>?0.05). However, APD led to a significant decline in albumin and pre-albumin, as compared with APD–CAPD and CAPD ( P ? P ?>?0.05). Conclusion Application of APD for urgent-start PD during the break-in period is feasible. A combination of APD and CAPD regimens seems to be a more reasonable mode.