Prediction a chance of death within the first three months after treatment of end-stage chronic kidney failure patients treated with peritoneal dialysis

Abstract

                                                                                                                         Abstract

            End-stage renal failure patients treated with peritoneal dialysis have a high mortality rate of about 1/5 in the first three months. This study aimed at identifying factors associated with death within the first three months of end-stage renal failure patients treated with peritoneal dialysis.

            Study and method: This study used a retrospective design in 149 end-stage renal kidney patients after peritoneal dialysis treatment in Nong Khai hospital. The study was conducted between October 1, 2017 - October 1, 2020. The cases were divided into two groups, 29 patients died within the first three months of treatment, and 120 patients lived beyond three months after peritoneal dialysis treatment. The data were analyzed by Pearson chi–square test and Multiple logistic regression.

            Study results: The significant factors associated with mortality within the first three months were cerebral vascular disease (OR = 9.44, 95% CI: 2.74-206.48); uremia (OR = 8.55, 95% CI: 1.09-21.23); low body mass index (OR = 5.55, 95% CI: 1.88-33.47), fluid overload (OR = 5.29, 95% CI: 1.14-18.02). These factors increased the chance of death to 9.44, 8.55, 5.55, and 5.29 times more than the patients with end-stage renal kidney treated with peritoneal dialysis and who live more than three months. These factors should be concerned with the high chances of death within the first three months when treated with peritoneal dialysis. Then palliative therapy may recommend for treatment.

Keywords : end stage renal disease, peritoneal dialysis, death, risk factor