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논문분류	춘계학술대회 초록집
제목	EARLY TECHNICAL COMPLICATIONS AND LONG TERM SURVIVAL OF URGENT PERITONEAL DIALYSIS ACCORDING TO BREAK-IN PERIOD
저자	Kitae Kim*, Jae Hoon Kim, Hyo Jin Jeong, Ji Young Lee, Su Mi Lee, Young Ki Son, Seong Eun Kim, Won Suk An
출판정보	2016; 2016(1):
키워드	peritoneal dialysis, Urgent PD
초록	Background: Guidelines recommend a break-in period of at least 2 weeks before peritoneal dialysis (PD) start because of catheter-related technical complications. Recent study report that urgent-start PD within 14 days after PD catheter insertion is an acceptable and safe alternative to hemodialysis in patients who need to start dialysis urgently without established dialysis access. We investigated the effect of break-in periods for 48 hours less or more on early technical complications, long term PD maintenance and survival in patients starting urgent PD. Methods: We included 360 patients percutaneously inserted PD catheter by surgical methods from a single center between January 2007 and December 2014. We excluded patients started hemodialysis (HD) with temporary catheter before PD catheter insertion and retrospectively analyzed data of 293 PD patients. Finally we included 190 patients who start PD urgently and grouped according to break-in period before PD solution dwell: 48 hours or less ( 100 mg/dL, creatinine>10 mg/dL, K > 6 mEq/L or pulmonary edema with a break-in period of less than 2 weeks. We defined early technical complications as malposition, leakage, obstruction, omental wrapping needing re-positioning operation, change to HD within 6months after PD catheter insertion. Results: Age of enrolled patients was 58.6 ± 13.6, male was 62.6% and diabetes was 40.5%. One hundred three patients (54.2%, BUN/creatinine: 101.7 ± 33.5/9.4 ± 3.8 mg/dL) were started PD within 2 days and 87 patients (45.8%, BUN/creatinine: 93.3 ± 30.5/9.0 ± 3.7 mg/dL) within 2 to 13 days (5.9 ± 2.9 days, median 5 days). The incidence of early technical complications was significantly higher in
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