Course and Outcome of Dialysis Pericarditis in Diabetic Patients Treated with Maintenance Hemodialysis

Abstract

Introduction: This observational study investigated the course and outcome of dialysis pericarditis in diabetic dialysis patients, as previous reports found that in contrast to uremic pericarditis, which responds in most cases to intensive hemodialysis, dialysis pericarditis resolves with intensification of hemodialysis in fewer cases. Methods: From 2002 through 2006, 88 maintenance hemodialysis patients (47 diabetic and 41 non-diabetic) were referred for management of dialysis pericarditis. Results: Dialysis pericarditis in 85.1% of diabetic and 82.9% of non-diabetic patients improved following institution of intensive hemodialysis. For the few unresponsive and critical cases, 8.5% of diabetic and 7.3% of non-diabetic patients received pericardiocentesis, whereas 6.4% of diabetic and 9.8% of non-diabetic patients received surgical drainage. In terms of outcome, 85.1, 4.3 and 10.6% of diabetic patients were alive without recurrence, alive with recurrence and deceased, respectively. There was no significant difference with their non-diabetic counterparts, for which the percentages were 87.8, 4.9 and 7.3%, respectively (p > 0.05). Kaplan-Meier analysis did not find any significant difference in survival as well (p > 0.05). Conclusion: Whether used in diabetics or not, intensive hemodialysis remains the primary and most effective dialysis pericarditis treatment, whereas pericardiocentesis or surgical drainage should be reserved for the few unresponsive and critical cases.

Association Between Body Mass and Mortality in Maintenance Hemodialysis Patients

“…Taiwan continues to have the highest incidence and prevalence of ESRD in the world (15)(16)(17). According to the US Renal Data System in 2009 (15), incidence rates of reported ESRD are greatest in Taiwan, at 415 per million population in 2007, followed by Mexico, USA, Japan, and Shanghai.…”

Acute Pericarditis in Chronic Dialysis Patients in Military Hospital of Morocco: About 8 Cases

“…Few studies have evaluated the optimal time of pericardial drainage, however, most authors necessarily state the indication for emergency drainage in the event of clinical or ultrasound signs of tamponade [25].…”

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“…In a Cochrane review of published literature on the use of colchicine in pericarditis, Alabed et al compared the effect of colchicine with indo-methacin and corticosteroids and concluded it is effective in recurrent pericarditis, but this was based on a small number of trials [ 19 ]. Overall, prognosis of uremic pericarditis is excellent, with a survival rate of 85–90% [ 20 , 21 ].…”