RISK CHARACTERISTICS OF VOLUME OVERLOAD IN ESRD PATIENTS UNDERGOING CAPD IN PHAYAO HOSPITAL

Abstract

Abstract

Background: Volume overload is a common complication in peritoneal dialysis patients.  Uncontrolled volume overload can induce cardiovascular heart disease.  This increase the morbidity and mortality rate among ESRD ( End Stage Renal Disease) patients undergoing CAPD (Continues Ambulatory Peritoneal Dialysis).  Thus, it leads to an increase of cost of treatment.     

Objective:  The aim of the study was to examine the risk factors which induce volume overload in ESRD patients undergoing CAPD.

Method:  The study was done as prognostic determinant research design ( prospective case-control).  The participants were End-Stage Renal Disease patients undergoing CAPD during March 2016 to September 2016.  There were two parts of  information.  The first was about general data (age, gender),  The second was about consumption of food and drinking water, the volume of urine, the frequency of CAPD, serum albumin level, Blood pressure and diseases. Data analysis was done by Stereotype logistic model

Results:  There were 117 participants in four categories.   The risk factors of volume overload were analysis by using Stereotype logistic model.  The findings showed that female had a higher risk than male at 1.95 times.  Participants who had BMI > 23 had an increased risk at 3.9 times.   Patients with mean Arterial blood pressure > 100 mmHg had a 6.10 times higher risk.  Patients with an urine volume < 200 cc had an increased risk at 2.3 times.

Characteristics

OR

95%CI

p-value

Female

1.95

0.98  -  3.88

0.056

BMI >23

3.89

1.86  -  8.15

<0.001

MAP > 100 mmHg

6.10

2.80  - 13.32

<0.001

Urine volume < 200 cc/day

2.30

0.89  -  5.98

0.087

Conclusions and Discussions:

Volume overload has high risk among female, BMI > 23, MAP >100 mmHg and urine volume < 200 cc /day.  Thus, ESRD undergoing CAPD patients with high risks should control and prevent volume overload.