Predictors of mortality at initiation of peritoneal dialysis in children after cardiac surgery

Boigner, Harald; Brannath, Werner; Hermon, Michael; Stoll, Elisabeth; Burda, Gudrun; Trittenwein, Gerhard; Golej, Johann

doi:10.1016/s0003-4975(03)01490-5

Cited by 52 publications

(37 citation statements)

References 17 publications

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“…14,19 Most of the complications of PD are minor and easily manageable. 9,10,15 The complications of PD detected in this study were similar to those seen in other reports, consisting primarily of infection and catheter malfunction. 24,25 The reported complications in catheter functioning are around 30%, nearly 2% being major complications, of the catheters inserted in their pediatric patients which is nearly identical with our cohort (30.3%).…”

Section: Discussionsupporting

confidence: 86%

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Early Initiation of Peritoneal Dialysis after Arterial Switch Operations in Newborn Patients

et al. 2012

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Background and aim: We investigated the clinical outcome of early initiated peritoneal dialysis (PD) use in our newborn patients who underwent arterial switch operation (ASO) for transposition of the great arteries (TGA) and had routine intraoperative PD catheter implantation. We determined the risk factors for PD, factors associated with prolonged PD, morbidity, and mortality. The aim of the present study was to describe our experience of using PD in this patient cohort. Materials and Methods: Eighty two patients who were diagnosed with TGA and TGA-ventricular septal defect (VSD) and who had undergone TGA correction operation in Başkent University, Istanbul Medical Research and Training Hospital between 2007 and 2012 were retrospectively investigated. All the patients were under 30 days old. PD catheters were routinely implanted intraoperatively at the end of the operation. PD was initiated in transient renal insufficiency. In the absence of oliguria and increased creatinine level, PD was established in the presence of one of the following: clinical signs of fluid overload, hyperkalemia (>5 mEq/L), persistent metabolic acidosis, lactate level above 8 mmol/L or low cardiac output syndrome. The patients were divided into two groups according to the need for postoperative PD (PD group and non-PD group). PD was initiated in 32 (39%) patients after the operation, whereas 50 (61%) patients did not need dialysis. The clinical outcomes and perioperative data of the two groups were compared. Results: The demographics in the two groups were similar. Cardiopulmonary bypass time was longer in the PD group [non-PD group, 175.24 AE 32.39 min; PD group, 196.22 AE 44.04 min (p < 0.05)]. Coronary anomaly was found to be higher in the PD group [non-PD group, n ¼ 2 patients (4.0%); PD group, n ¼ 7 patients (21.9%); p < 0.05]. There was more need for PD in TGA þ VSD patients [simple TGA patients, n ¼ 14; TGA þ VSD patients, n ¼ 18 (p < 0.05)]. PD rate was higher in patients whose sterna were left open at the end of the operation (p < 0.05).

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Section: Discussionsupporting

confidence: 86%

“…4,7,8,13 The mortality rate in children with ARF following heart surgery has been reported ranging from 10-90%. 7,8,[13][14][15][16] Various authors have demonstrated that an earlier initiation of dialysis is associated with a lower mortality rate.…”

Section: Discussionmentioning

confidence: 99%

Early Initiation of Peritoneal Dialysis after Arterial Switch Operations in Newborn Patients

et al. 2012

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“…It has been shown that patients on ECMO develop significant AKI, leading to increased mortality [1][2][3]. Furthermore, cardiac surgery is an independent risk factor for AKI, with reported incidence varying from 2 % to 17 % [4,5].…”

Section: Introductionmentioning

confidence: 99%

Outcomes associated with the use of renal replacement therapy in children receiving extracorporeal membrane oxygenation after heart surgery: a multi-institutional analysis

2014

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“…Reported incidence rates of acute renal injury requiring replacement therapy after pediatric cardiac surgery have varied from 2.1% to 17% over the past decades (15,16). Several other authors have reported that renal replacement therapy is delivered in up to 10% of children undergoing cardiac surgery for congenital heart disease, and is associated with a high mortality rate (17,18).…”

Section: Discussionmentioning

confidence: 99%

Peritoneal Dialysis in Neonates: Six Years Single Centre Experince

Özlü¹,

Yapıcıoğlu²,

Seker³

et al. 2018

Turk J Med Sci

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Background/aim: Peritoneal dialysis (PD) is generally considered the practical dialysis modality for neonates in the treatment of acute kidney injury (AKI) and metabolic disturbances. The aim of this study was to evaluate the indications, complications, and outcomes of PD between January 2011 and December 2016. Materials and methods:This study included all 56 neonates that underwent PD over six years in our neonatal intensive care unit (NICU). A retrospective chart review was performed for all patients in our institution. Results:The incidence of PD was 1.32% (56/4230 patients) during this period. Mean birth weight of the patients was 2267.77 ± 1060.63 (540-5050) g. Thirty-four (60.7%) patients were premature. Fourteen patients (25%) were in the postoperative period of cardiac surgery due to congenital cardiac defects, fourteen patients (25%) were diagnosed with metabolic diseases, one patient had hypoxic ischemic encephalopathy, and another patient had severe pulmonary hypertension. Conclusion:In the acute setting of a neonatal intensive care unit, PD performed in a neonate provides a technically simple method of steady fluid, solute removal, and correction of electrolyte abnormalities. A trocar catheter appears safe even in premature babies, and closed three-way stopcock system seems to be reliable at the bedside in NICUs.

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Predictors of mortality at initiation of peritoneal dialysis in children after cardiac surgery

Cited by 52 publications

References 17 publications

Early Initiation of Peritoneal Dialysis after Arterial Switch Operations in Newborn Patients

Early Initiation of Peritoneal Dialysis after Arterial Switch Operations in Newborn Patients

Outcomes associated with the use of renal replacement therapy in children receiving extracorporeal membrane oxygenation after heart surgery: a multi-institutional analysis

Peritoneal Dialysis in Neonates: Six Years Single Centre Experince

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