Comparison of fast peritoneal equilibration tests with 1.36 and 3.86% dialysis solutions.
At present dialysis solutions with different glucose concentrations are used for the peritoneal equilibration test (PET) and Fast-PET in peritoneal dialysis (PD). We compared the results of two Fast-PETs, using 1.36 and 3.86% solutions sequentially in 30 patients on PD treatment, to obtain information on peritoneal transport (D/P-4 h) and ultrafiltration rates. Creatinine, phosphorus and urea D/P-4 h in the two Fast-PETs were not statistically different, unlike those for potassium, beta 2-microglobulin and glucose. The creatinine and phosphorus D/P-4 h values in particular proved to be uninfluenced by the different dialysis solutions. The lack of correlation between the two Fast-PET ultrafiltration values confirmed the difficulty in interpreting this parameter, above all in the case of non-homologous Fast-PETs. We obtained useful indications for comparing different Fast-PET results, but were unable to reach a decisive conclusion regarding the best of the two dialysis solutions for this test.
Virga
G
G
Nephrology and Dialysis Division, Treviso Regional Hospital, ULSS10, Italy.
Amici
G
G
da Rin
G
G
Vianello
A
A
Calconi
G
G
da Porto
A
A
Bocci
C
C
D000368:Aged; D001202:Ascitic Fluid / Q000378:metabolism*; D001692:Biological Transport; D001806:Blood Urea Nitrogen; D003404:Creatinine / Q000378:metabolism; D005260:Female; D005947:Glucose / Q000493:pharmacokinetics; D015312:Hemodialysis Solutions / Q000737:chemistry / Q000493:pharmacokinetics*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009994:Osmolar Concentration; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010758:Phosphorus / Q000493:pharmacokinetics; D011188:Potassium / Q000493:pharmacokinetics; D014462:Ultrafiltration; D001613:beta 2-Microglobulin / Q000032:analysis
D015312:Hemodialysis Solutions; D001613:beta 2-Microglobulin; D010758:Phosphorus; D003404:Creatinine; D005947:Glucose; D011188:Potassium