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首页> 外文期刊>Revista de la Sociedad Espanola de Enfermeria Nefrologica >A detailed study of the causes of transference from Peritoneal Dialysis to hemodialysis in a Nephrology Service.
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A detailed study of the causes of transference from Peritoneal Dialysis to hemodialysis in a Nephrology Service.

机译：肾病科对腹膜透析向血液透析转移的原因进行了详细研究。

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BLASCO CABANAS, C. et al. A detailed study of the causes of transference from Peritoneal Dialysis to hemodialysis in a Nephrology Service. Rev Soc Esp Enferm Nefrol [online]. 2004, vol.7, n.1, pp.43-48. ISSN 1139-1375.Objective: To analyse the causes and risk factors of transference to HD in a programme of PD. Material and methods: A descriptive and retrospective study. PD is offered across the board toall patients with IRCT. The following variable were gathered: demographics, clinics, existence of physical deficiencies, functional autonomy, peritonitis, time of treatment and reason for stopping the technique; immediate causes of transfer to hemodialysis, classified as potentially solvable or not. We analyzed the following data on the patients: clinical data, funcional status and social data. Results: Of a total of 103 patients 58.25% of them men, with an average age at the beginning of PD of 59±18, 29% transfered to HD, 16.5% had transplants, 29% died, while 26 people continue in the programme. The immediate causes of transfer to HD were: 30% failure of ultrafiltration (UF) and / or infradialysis, 17% peritonitis, 17% problems related tothe catheter or the abdominal wall, 17% intolerance of PD, 13% social problem and / or seriousillness and 6% the wish of the patient. Of the total transfers, 46% were due to problems related to PD for which there was no solution. The transfer patients had more peritonitis than others and a major proportion of physical deficiencies which made it difficult to carry out PD. Personal and social factors were observed to have a strong influence on the survival of the technique of PD.
机译：BLASCO CABANAS，C。等。肾病科对腹膜透析向血液透析转移的原因进行了详细研究。 Rev Soc Esp Enferm Nefrol [在线]。 2004，第7卷，第1期，第43-48页。 ISSN 1139-1375。目的：在PD程序中分析向HD转移的原因和风险因素。材料和方法：描述性和回顾性研究。 PD为所有IRCT患者全面提供。收集了以下变量：人口统计学，诊所，身体缺陷的存在，功能自主性，腹膜炎，治疗时间和停止使用该技术的原因;转移到血液透析的直接原因，不论是否可解决。我们分析了有关患者的以下数据：临床数据，功能状态和社会数据。结果：总共103例患者中，男性占58.25％，PD开始时的平均年龄为59±18，其中29％转移至HD，16.5％进行了移植，死亡29％，有26人继续该计划。转移至HD的直接原因是：30％的超滤（UF）和/或渗析失败，17％的腹膜炎，17％的与导管或腹壁有关的问题，17％的PD不耐受，13％的社会问题和/或严重度和6％的患者意愿。在全部转移支付中，有46％是由于与PD相关的问题而无法解决的。转移患者的腹膜炎比其他患者多，并且大部分身体缺陷使PD难以实施。观察到个人和社会因素对PD技术的生存有很大影响。

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