Diálise peritoneal: por que não? Um programa em um hospital de urgência

Abstract

INTRODUCTION: Peritoneal dialysis (PD) is a renal replacement therapy (RRT) modality underutilized, even though its morbimortality and quality of life aren’t different from what is observed with hemodialysis (HD). OBJECTIVES: To describe the experience of a program created ate Sergipe that offers PD to renal chronic patients. CASUISTRY AND METHODS: A descriptive, observational and retrospective study was conducted on chronic kidney patients that were institutionalized at Hospital de Urgência de Sergipe (HUSE) between november 2011 and august 2013 and that were treated with PD. The patients referred to a dialysis center were followed up during six months after hospital discharge . RESULTS: A hundred and twelve patients iniciated PD at HUSE, and it was the first modality of RRT at 23% of them; 42% presented infeccious and/or mechanic complications; and 26% died in this first moment. Sixty seven pacients (60%) were followed up during the first six months of outpatient RRT: 16% died and 76% continued at PD. CONCLUSION: PD is a first choice dialysis modality that can be indicated to almost all patients who need RRT, including emergency conditions.