Patency of Peritoneal dialysis in Sansai Hospital
Abstract
End stage renal disease is an important health problem in Thailand. After the peritoneal dialysis is in the universal health care coverage. The study found that the surgery to peritoneal dialysis catheter insertion are further increased amounts and also higher rate of peritonitis as well. Resulting in a failure in hemodialysis, followed by surgery statistics from San Sai Hospital found that the rate of dialysis failure is 1 in 3 of the patients underwent surgery, the researcher has the idea that it should be reviewed for various factors. That affects the failure of peritoneal dialysis to find a way to reduce the incidence to a minimum.
Research methodology: Retrospective cohort study. Comparison of factors related to failure of peritoneal dialysis. By collecting data from medical records of the patients who underwent surgery at San Sai hospital From February 2014 to September 2016
Results: The study found that the patients with peritoneal dialysis failed are 25 cases, from total 100 sample.
As reveal the general characteristics of the population and intra-operative finding such as surgical incision, history of abdominal surgery, ascites problem, dialysis flow rate and position of the dialysis catheter. There was no statistically significant difference between two groups. But for the data obtained post-surgery found that, Peritonitis is a factor that has a statistically significant difference (P-value = 0.001). Which, when analyzed with Multiple logistic regression, Patients with history of abdominal surgery and Peritonitis are statistically significantly increased incident of failure in peritoneal dialysis (OR 4.48-119.11 ,P-value = 0.001 and OR 1.09-22.56 ,P-value = 0.038). Especially peritonitis also reduces the survival rate of patients (OR 1.05-6.77 ,P-value = 0.039).
Conclusion: This study therefore suggests important correlating factors affecting renal dialysis failure. That is, patients who had undergone abdominal surgery and abdominal infection. Therefore, doctors and nurses should give importance to providing knowledge and understanding Allow the patient to take care of the dialysis line correctly and should follow up closely.
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