Study of Clinical Profile of CAPD Patients in Eastern India – A Clinical Observation

Study of Clinical Profile of CAPD Patients in Eastern India – A Clinical Observation

  • Bishwaranjan Mohanty Department of Nephrology, IMS and SUM hospital, Siksha “O” Anusandhan University (Deemed to be), K8, Kalinga nagar, Bhubaneswar-751003, Odisha, India
  • Tapas Ranjan Behera Department of Nephrology, IMS and SUM hospital, Siksha “O” Anusandhan University (Deemed to be), K8, Kalinga nagar, Bhubaneswar-751003, Odisha, India
  • Sujata Naik Department of Pathology, IMS and SUM hospital, Siksha “O” Anusandhan University (Deemed to be), K8, Kalinga nagar,Bhubaneswar-751003, Odisha, India
  • Chittaranjan Kar Department of Nephrology, Sriram Chandra Bhanj (SCB) Medical College and Hospital, Cuttack, Odisha , India
  • Smarak Ranjan Panda Department of Nephrology Apollo hospital, Gajapati Nagar, Bhubaneswar, Odisha 751005
  • Alisha Sahu Department of Anaesthesia & critical care, IMS and SUM hospital, Siksha “O” Anusandhan University (Deemed to be), K8, Kalinga nagar,Bhubaneswar-751003, Odisha, India
  • Deba Prasad Kar Department of Nephrology, IMS and SUM hospital, Siksha “O” Anusandhan University (Deemed to be), K8, Kalinga nagar, Bhubaneswar-751003, Odisha, India
  • Jatindra Nath Mohanty Medical Research Laboratory, IMS and SUM hospital, Siksha “O” Anusandhan University (Deemed to be), K8, Kalinga nagar,Bhubaneswar-751003, Odisha, India
Keywords: ESRD, CAPD, Peritoneal equilibration test (PET), Peritonitis

Abstract

Background: The prevalence of end-stage renal disease (ESRD) requiring renal replacement therapy is rising steadily in developed and developing countries. Currently, continuous ambulatory peritoneal dialysis (CAPD) and in-center hemodialysis (HD) are the two major modes of dialysis used to treat ESRD . Only 8% of PD patients are initiated on PD directly, 92% are  shifted from HD .There are several approaches to measuring peritoneal membrane function like  peritoneal equilibration test (PET), the standard permeability analysis (SPA). Successful treatment  with PD encompasses several important quality targets like Patient survival, Technique survival, Quality of life, Nutrition status. Complications includes Catheter malfunction, Exit site infection, Peritonitis, Fluid leaks. In this observational study of clinical profile of CAPD patients 40 patients were taken. Of the 40 patients included in study 72.5% were male and 27.5% were female. Various factors for preference of   CAPD are  remote places, expenditure(35%),  cardiovascular morbidity(25%). The observations are out of  52 % had well maintained nutrition ,KT/V score ranges from 1.2 to 7 with mean (SD) 3.88 ± 1.59, only 22.5% have peritonitis and catheter exit site infections. None had catheter removal.   All our   outcome (such as correction of anemia, nutritional status, clinical well being, absence of edema) and biochemical parameters (for e.g. Peritoneal Equilibrium Test, weekly KT/V) will used to knowing the adequacy which is consistent to results of various national and international studies.

Published
2019-11-27