title: Sudden Death in End Stage Renal Disease: Comparing Hemodialysis versus Peritoneal Dialysis.
abstract: This study aimed to evaluate total and sudden death (SD) in a cohort of dialysis patients, comparing hemodialysis (HD) vs. peritoneal dialysis (PD).
  
  
  
  This is a multicenter retrospective cohort study.
  
  
  
  Deaths were 626 out of 1,823 in HD and 62 of 249 in PD patients. HD patients had a greater number of comorbidities (p < 0.05). PD patients had a lower risk of death than HD patients (p < 0.001); however, the advantage decreased with time (p < 0.001). Mortality predictors were left ventricular ejection fraction (LVEF) ≤35%, older age, ischemic heart disease, diabetes mellitus, previous stroke, and atrial fibrillation (p < 0.03). SDs were 84:71 in HD and 13 in PD population (12.1 and 22.8% of all causes of death, respectively). A non-significant risk of SD among PD compared to HD patients was detected. SD predictors were older age, ischemic heart disease, and LVEF ≤35% (p < 0.05).
  
  
  
  HD patients showed a greater presence of comorbidities and reduced survival compared to PD patients; however, the incidence of SD does not differ in the 2 populations. Video Journal Club "Cappuccino with Claudio Ronco" at http://www.karger.com/?doi=464347.
authors.affiliation: Nephrology Unit, San Gerardo Hospital, Monza, Italy.
authors.forename: Simonetta
authors.initials: S
authors.lastname: Genovesi
authors.forename: Luca
authors.initials: L
authors.lastname: Porcu
authors.forename: Maria Carmen
authors.initials: MC
authors.lastname: Luise
authors.forename: Hilary
authors.initials: H
authors.lastname: Riva
authors.forename: Elisa
authors.initials: E
authors.lastname: Nava
authors.forename: Gina
authors.initials: G
authors.lastname: Contaldo
authors.forename: Andrea
authors.initials: A
authors.lastname: Stella
authors.forename: Claudio
authors.initials: C
authors.lastname: Pozzi
authors.forename: Patrizia
authors.initials: P
authors.lastname: Ondei
authors.forename: Claudio
authors.initials: C
authors.lastname: Minoretti
authors.forename: Maurizio
authors.initials: M
authors.lastname: Gallieni
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Pontoriero
authors.forename: Ferruccio
authors.initials: F
authors.lastname: Conte
authors.forename: Valter
authors.initials: V
authors.lastname: Torri
authors.forename: Silvio
authors.initials: S
authors.lastname: Bertoli
authors.forename: Antonio
authors.initials: A
authors.lastname: Vincenti