dc.contributorUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2018-12-11T17:14:50Z
dc.date.available2018-12-11T17:14:50Z
dc.date.created2018-12-11T17:14:50Z
dc.date.issued2017-09-01
dc.identifierPeritoneal Dialysis International, v. 37, n. 5, p. 578-583, 2017.
dc.identifier1718-4304
dc.identifier0896-8608
dc.identifierhttp://hdl.handle.net/11449/175210
dc.identifier10.3747/pdi.2016.00217
dc.identifier2-s2.0-85029749398
dc.description.abstractThis study aimed to explore the role of high-volume peritoneal dialysis (HVPD) in cardiorenal syndrome (CRS) type 1 patients in relation to metabolic and fluid control and outcome. Sixty-four patients were treated by HVPD (prescribed Kt/V = 0.50/session), flexible catheter and cycler. Mean age was 68.8 ± 15.4 years, 54.7% needed intravenous inotropic agents and/or intravenous vasodilators, 31.2% were on mechanical ventilation, acute coronary syndrome (ACS) was the main cause of acute disease heart failure (ADHF) 48.3%, median left ventricular ejection fraction (LVEF) was 38% and the main dialysis indications were uremia and hypervolemia. Blood ureic nitrogen and creatinine levels stabilized after 4 sessions at around 50 and 4 mg/dL, respectively. Negative fluid balance (FB) and ultrafiltration (UF) increased progressively and stabilized around 2.6 L and -2.5 L/day, respectively. Weekly-delivered Kt/V was 3.0 ± 0.42, and 32.8% died. There was a significant difference between the survivors (S) and non-survivors (NS) in age (71.4 ± 15.7 vs 63.6 ± 17.6, p < 0.001), main diagnosis of ADHF (ACS: 76.2 vs 34.8%, p = 0.04), mechanical ventilation (52.4 vs 20.1%, p = 0.03), fluid overload (FO) at predialysis moment (52.4 vs 25.6%, p = 0.04), and FB and UF from the 2nd to 5th dialysis session. In conclusion, HVPD treatment was effective in CRS type 1 patients, allowing adequate metabolic and fluid control. Age, ACS, FO and positive FB after 2 HVPD sessions were higher in NS patients.
dc.languageeng
dc.relationPeritoneal Dialysis International
dc.relation1,089
dc.rightsAcesso restrito
dc.sourceScopus
dc.subjectAcute kidney injury
dc.subjectCardiorenal syndrome
dc.subjectPeritoneal dialysis
dc.titlePeritoneal dialysis for the treatment of cardiorenal syndrome type 1: A prospective Brazilian study
dc.typeArtículos de revistas


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