Peritoneal Dialysis in Children with Renal Failure; Outcome and Complications
Kerbala Journal of Medicine,
2012, Volume 5, Issue 11, Pages 1238-1242
AbstractBackground : While the use of continuous renal replacement therapies in the management of children with acute and chronic renal failure have increased , the role of peritoneal dialysis ( PD ) in the treatment of pediatric renal failure(RF) has received less attention .
Objectives: This study considers causes of renal failure ,complications during and after the procedure of peritoneal dialysis( PD),and their outcome .
Methods: A retrospective database review of children requiring PD for RF from March 2010 to July 2011 in pediatric peritoneal dialysis unit in Babylon Gynecology and Children Teaching Hospital .
Fifty two patients with or without previously known underlying renal disease were investigated with biochemical and radiological studies and got no benefit from conservative management so they have been referred for PD for the treatment of their renal failure .
Results : The outcome of the patients with peritoneal dialysis was: Thirty three survivors ( 63 . 46 % ) , mortality (19 cases) 100% during infantile period ( 1 day – 1 year ) age group .
Causes of mortality : Eighteen patients died due to multiorgan failure (94 .73 % ) .
Causes of renal failure were: Sepsis (19) , renal disease (15) cardiac problems ( 6 ) , perinatal asphyxia ( 3 ) , hemolytic uremic syndrome ( 3) hypovoleamia ( 3 ) meningo -encephallitis ( 2 ) and inborn error of metabolism(1). Complications of PD occurred in (42 .3 % ) , the most prevalent was the need for further regular dialysis (45.8%) .
Conclusion : The common age of death from renal failure is below one year ,the commonest cause of death was multiorgan failure. Forty five percent of patients need another dialysis.
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