Chronic peritoneal dialysis in paediatrics : experience of a national registry

The results of the first 3 years' collaboration of the Italian Registry of Paediatric Chronic Peritoneal Dialysis (CPD) (1986-1988) are presented. This Registry acquired data on the majority of the paediatric patients treated with CPD in Italy, thus providing a national picture in a field where...

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Bibliographic Details
Published in:Pediatric nephrology (Berlin, West) West), 1992, Vol.6 (1), p.78-81
Main Authors: VERRINA, E, ANDREETTA, B, PELA, I, PENZA, R, PERFUMO, F, PETRUCCI, V, PICCA, M, RAGAIOLO, M, RINALDI, S, RIZZONI, G, SORINO, P, VIGLINO, G, BASSI, S, ZACCHELLO, G, GUSMANO, R, BONAUDO, R, CARINGELLA, D. A, CASTELLANI, A, CAVALLI, P, EDEFONTI, A, LAVORATTI, G, LONGO, L
Format: Article
Language:English
Subjects:
Adolescent
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Catheters, Indwelling - adverse effects
Child
Child, Preschool
Emergency and intensive care: renal failure. Dialysis management
Humans
Infant
Infant, Newborn
Intensive care medicine
Italy - epidemiology
Kidney Failure, Chronic - epidemiology
Kidney Failure, Chronic - therapy
Medical sciences
Peritoneal Dialysis, Continuous Ambulatory - adverse effects
Peritonitis - microbiology
Postoperative Complications
Registries
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Summary:The results of the first 3 years' collaboration of the Italian Registry of Paediatric Chronic Peritoneal Dialysis (CPD) (1986-1988) are presented. This Registry acquired data on the majority of the paediatric patients treated with CPD in Italy, thus providing a national picture in a field where few nationwide surveys are available. Patients of less than 15 years of age at the start of dialysis were enrolled and clinical data collected until the age of 19 years. The number of nephrological paediatric centres participating in the Registry increased from 7 in 1986 to 11 in 1988. The total number of patients on CPD was 70 and the percentage of dialysed children treated with CPD ranged from 40.2% to 43.6%. Data on 89 peritoneal catheters were collected: during 1417 dialysis-months 70 catheter-related complications were observed (1:20.8 dialysis-months); actuarial catheter survival was 92.7% at 6 months, 84.8% at 1 year and 68.8% at 2 years. the incidence of peritonitis changed from 1 episode every 10.9 patient-months in 1986 to 1 every 19.8 in 1988. Abdominal hernias were the other main clinical complication observed. The survival of patients was 92.5% at 3 years, while the technique survival at the same time was 84%.
ISSN:0931-041X
1432-198X
DOI:10.1007/BF00856844