title: The performance of acute peritoneal dialysis treatment in neonatal period.
abstract: The aim of this retrospective study was to evaluate our neonatal intensive care unit (NICU) patients' characteristics treated with acute peritoneal dialysis (PD) and their risk factors for mortality. We also wanted to share our experience of the application of PD in neonates who required less than 60 mL of dwell volume and their PD-related problems, as well as special solutions for these problems. This study included 27 infants treated in our NICU between February 2008 and December 2011. We retrospectively analyzed these patients' records. The percutaneous PD catheter was placed by us. PD procedure was performed either by manual technique or automated PD. Statistical evaluation was performed by using χ(2)-tests and Student's t-tests. In these 27 neonates, the average gestational age and birth weight were 35.18 ± 4.02 weeks and 2534.62 ± 897.41 g, respectively. The mean PD duration time was 6.11 ± 6.30 days. Of these, 10 patients were treated by manual technique, whereas 17 patients were treated with automated system. Among 27 neonates, 16 patients died. Overall mortality rate was 59.25%. PD-related complications were seen in 25.92% of patients. In conclusion, PD application is less effective and troublesome for low-birth-weight infants. Each center should create its own solutions to accommodate problematic patients in PD treatment to improve the outcome in this special population.
authors.affiliation: Department of Pediatric Nephrology, Izmir Tepecik Training and Research Hospital, Izmir, Turkey. caneralparslan@gmail.com
authors.forename: Caner
authors.initials: C
authors.lastname: Alparslan
authors.forename: Onder
authors.initials: O
authors.lastname: Yavascan
authors.forename: Alkan
authors.initials: A
authors.lastname: Bal
authors.forename: Ali
authors.initials: A
authors.lastname: Kanik
authors.forename: Engin
authors.initials: E
authors.lastname: Kose
authors.forename: Belde Kasap
authors.initials: BK
authors.lastname: Demir
authors.forename: Nejat
authors.initials: N
authors.lastname: Aksu
mesh_terms: D004487:Edema / Q000628:therapy; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000401:mortality / Q000628:therapy*; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000401:mortality / Q000628:therapy; D007363:Intensive Care Units, Neonatal; D008297:Male; D009846:Oliguria / Q000628:therapy; D010530:Peritoneal Dialysis / Q000379:methods / Q000401:mortality; D012189:Retrospective Studies; D012307:Risk Factors; D014511:Uremia / Q000628:therapy