Outcome and complications in patients treated with continuous ambulatory peritoneal dialysis (CAPD) at a single centre during 11 years

Neth J Med. 1996 Jul;49(1):4-12. doi: 10.1016/0300-2977(96)00009-5.

Abstract

Objective: To evaluate outcome and complications in patients treated with CAPD at our centre a retrospective study was performed.

Methods: Relevant data from all 123 consecutive patients on the CAPD program from 1982 to 1994 were reviewed.

Results: Patient survival after 1, 2, 3 years was 89, 78, 69 and 50% respectively. The probability of having a functioning catheter after 1, 2, 3 and 5 years was 90, 77 and 68%, respectively. We observed 179 technical complications (42 intra-abdominal pressure, 137 catheter-related). Peritonitis (220 episodes, 62% gram-positive) occurred with a mean incidence of 1 episode in 13 treatment months and was the main reason (26 cases, 68% gram-positive) for catheter removal. (Mixed) Gram-negative peritonitis was associated with a higher mortality, and relatively more often resulted in termination of CAPD treatment when compared to gram-positive peritonitis. Introduction in 1988 of a new fluid exchange system (Twin Bag) and alcohol disinfection of hands was accompanied by a decreased incidence of peritonitis and exit-site infections, but to date patient, technique and catheter survival have not improved.

Conclusion: Although therapeutic measures have resulted in a reduced incidence of peritonitis and exit-site infections, infectious and technical complications remain a serious threat to patient and technique survival in CAPD treatment.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Catheters, Indwelling / adverse effects
  • Cause of Death
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Kidney Failure, Chronic / complications
  • Kidney Failure, Chronic / mortality
  • Kidney Failure, Chronic / therapy*
  • Kidney Transplantation
  • Male
  • Middle Aged
  • Pancreatitis / epidemiology
  • Pancreatitis / etiology
  • Peritoneal Dialysis, Continuous Ambulatory / adverse effects*
  • Peritoneal Dialysis, Continuous Ambulatory / mortality
  • Peritonitis / etiology*
  • Peritonitis / mortality
  • Peritonitis / therapy
  • Renal Dialysis
  • Retrospective Studies
  • Survival Rate
  • Treatment Outcome