[Factors predicting survival in patients on peritoneal dialysis].
OBJECTIVE
To determine the factors associated with survival in a cohort of 74 patients with end-stage renal disease (ESRD) undergoing chronic peritoneal dialysis (CPD).


METHODS
The study was carried out at a general hospital of the Instituto Mexicano del Seguro Social.


METHODS
Analysis of a retrolective cohort under a nested case control design.


METHODS
The variables studied included age, gender, cause of ESRD (diabetic or non-diabetic), socioeconomic status, modality of CPD (intermittent vs continuous ambulatory peritoneal dialysis), catheters per patient, rate of peritonitis, levels of serum creatinine and albumin at the beginning of the CPD.


RESULTS
During a 75.1 years-patient follow up, there were 41 deaths (cases). The main cause of death was peritonitis. The cumulated survival of the 74 patients was 64%, 29% and 13% at 12, 24 and 33 months, respectively. Intermittent peritoneal dialysis, the rate of peritonitis and the level of basal serum albumin were associated with a decreased survival in a univariate analysis. Only a high rate of peritonitis was associated with an increase in mortality rate independent from other variables (p = 0.002).


CONCLUSIONS
The probability of survival in ESRD in our hospital was low in relation to other nephrology departments of Mexico and other countries. A high rate of peritonitis proved to be an important independent predictor of a lesser survival rate in patients under CPD in our institution.
Leaños-Miranda
A
A
Hospital General de Zona No. 1-A Los venados, Instituto Mexicano del Seguro Social, México, D.F.
D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D002423:Cause of Death; D015331:Cohort Studies; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality* / Q000628:therapy; D007677:Kidney Function Tests; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects / Q000401:mortality*; D010538:Peritonitis / Q000209:etiology / Q000401:mortality; D012307:Risk Factors; D018805:Sepsis / Q000209:etiology / Q000401:mortality; D012959:Socioeconomic Factors; D016019:Survival Analysis
Factores predictivos de sobrevida de pacientes en diálisis peritoneal.