[Effect of continuous quality improvement (CQI) on hypertension management in continuous ambulatory peritoneal dialysis(CAPD) patients].
OBJECTIVE
To improve hypertension management in peritoneal dialysis patients through CQI process.


METHODS
Using the 4-step problem-solving framework called the PDCA cycle-plan, do, check and act, we conducted a CQI program.


RESULTS
One hundred and forty-five peritoneal dialysis patients dialyzed for more than 3 months participated in the study. In 49 prevalent patients, the incidence of uncontrolled hypertension (BP>or=140/90 mm Hg 1 mm Hg=0.133 kPa) decreased from 49% to 16.3% although there were no significant changes in antihypertensive medication and total fluid removal. The incidence of uncontrolled hypertension in incident patients decreased from 61.3% to 28%. Height normalized extracellular water decreased significantly. In males it was from (10.8+/-1.4) kg/m to (10.3+/-1.7) kg/m and in females (9.6+/-1.2) kg/m to (8.6+/-1.2) kg/m.


CONCLUSIONS
CQI is a useful method in the management of hypertension in peritoneal dialysis patients.
Wang
Xin
X
Department of Nephrology, Peking University First Hospital, Beijing 100034, China.
Wang
Tao
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D017379:Hypertrophy, Left Ventricular / Q000188:drug therapy; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D017749:Total Quality Management
D000806:Angiotensin-Converting Enzyme Inhibitors