Adequacy of chronic peritoneal dialysis in low socioeconomic class uremic children.
The ability to provide successful rehabilitation in 57 uremic children from a low socioeconomic background was prospectively evaluated by means of assessment of growth and development, incidence of complications, compliance, mortality rate and final outcome. Forty-three patients were on intermittent peritoneal dialysis (PD) and 14 on continuous ambulatory peritoneal dialysis (CAPD). The overall incidence of peritonitis was 5.6 episodes per patient-year; 41 patients are alive; 12 continue on intermittent dialysis; 16 received a renal allograft and 13 shifted to hemodialysis. Hypervolemia, sepsis due to peritonitis and abandonment of treatment were the main causes of death in 16 children. Malnutrition and non-compliance were the main factors leading to unsatisfactory rehabilitation.
D000293:Adolescent; D001826:Body Fluids / Q000502:physiology; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D010349:Patient Compliance; D010530:Peritoneal Dialysis / Q000009:adverse effects; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D010538:Peritonitis / Q000209:etiology; D011446:Prospective Studies; D012923:Social Class; D012959:Socioeconomic Factors; D014511:Uremia / Q000401:mortality / Q000628:therapy*