Lobbedez et al.2020 Lobbedez T, Lecouf A, Ficheux M, Henri P, Hurault de Ligny B, Ryckelynck JP. Is rapid initiation of peritoneal dialysis feasible in unplanned dialysis patients? A single-centre experience. Nephrol Dial Transplant 2008;23:3290-4. DOI: http://dx.doi.org/10.1093/ndt/gfn213
http://dx.doi.org/10.1093/ndt/gfn213...
|
2008 |
34 PD and 26 HD |
Unplanned PD vs. unplanned HD |
No significant difference between groups in patient survival (78.8% in the HD group vs. 82.9% in the PD group). |
Only two cases of mechanical complication after catheter implantation |
Koch et al.1919 Koch M, Kohnle M, Trapp R, Haastert B, Rump LC, Aker S. Comparable outcome of acute unplanned peritoneal dialysis and haemodialysis. Nephrol Dial Transplant 2012;27:375-80. DOI: http://dx.doi.org/10.1093/ndt/gfr262
http://dx.doi.org/10.1093/ndt/gfr262...
|
2012 |
57 incident patients on unplanned HD and 66 on unplanned PD |
Unplanned HD vs. unplanned PD |
No significant difference between groups in death rates (n = 20 PD patients (30.3%) vs. n = 24 HD patients (42.1%) p = 0.19) |
HD patients had more bacteremia than PD patients within the first months of dialysis - associated with the use of CVCs as initial access (21.1% vs. 3%, p < 0.01) |
Povlsen2626 Povlsen JV. Unplanned start on assisted peritoneal dialysis. Contrib Nephrol 2009;163:261-3. PMID: 19494623
|
2009 |
20 incident patients on planned PD and 19 on unplanned PD |
Planned PD vs. unplanned PD |
No significant difference between groups in patient survival or time without infection |
Risk of mechanical complications and need to change peritoneal catheter were greater in the unplanned PD group |
Alkatheeri et al.2929 Alkatheeri AM, Blake PG, Gray D, Jain AK. Success of Urgent-Start Peritoneal Dialysis in a Large Canadian Renal Program. Perit Dial Int 2016;36:171-6. DOI: http://dx.doi.org/10.3747/pdi.2014.00148
http://dx.doi.org/10.3747/pdi.2014.00148...
|
2014 |
30 incident patients on PD |
Urgent-start PD |
The authors concluded that urgent-start PD is a safe alternative for patients without a hemodialysis access needing to start dialysis urgently |
Three patients (10%) had leaks; six patients (20%) had catheter migration, corrected by repositioning the catheter without the need to replace the catheter or change the mode of therapy. |
Liu et al.3030 Liu FX, Ghaffari A, Dhatt H, Kumar V, Balsera C, Wallace E, et al. Economic evaluation of urgent-start peritoneal dialysis versus urgent-start hemodialysis in the United States. Medicine (Baltimore) 2014;93:e293. DOI: 10.1097/MD.0000000000000293 https://doi.org/10.1097/MD.0000000000000...
|
2014 |
Five clinics offering urgent-start HD or DP. 218 patients had unplanned starts - 95 on PD, 97 on HD, and 26 on the dual approach (urgent-start HD+PD) |
Urgent-start PD, urgent-start HD, and dual approach (urgent-start HD followed by urgent-start PD) |
The authors concluded that urgent-start PD is cost-effective. The estimated cost per patient for the first 90 days of urgent-start PD was USD 16,398 vs. USD 19,352 for urgent-start HD. |
None |
Dias et al.2323 Dias DB, Banin V, Mendes ML, Barretti P, Ponce D. Peritoneal dialysis can be an option for unplanned chronic dialysis: initial results from a developing country. Int Urol Nephrol 2016;48:901-6. PMID: 26897038 DOI: http://dx.doi.org/10.1007/s11255-016-1243-x
http://dx.doi.org/10.1007/s11255-016-124...
|
2016 |
35 incident patients on unplanned PD; the first 90 days of therapy |
Unplanned PD |
Metabolic management as achieved after five high-volume PD sessions; patients remained on IPD for 23.2 ± 7.2 days and had 11.5 ± 3.1 IPD sessions. Death rate was 20%; catheter survival rate was 85.7%. Chronic PD program grew by 41.1%. |
Peritonitis and mechanical complications occurred in 14.2% and 25.7% of the cases, respectively. |