The impact of type of assistance on characteristics of peritonitis in elderly peritoneal dialysis patients

Abstract

Three-fourths of elderly PD patients in the present study required assistance from family members or private caregivers. Caregiver-assisted patients were significantly older and had more comorbidities. Also, a non-significant trend of higher peritonitis incidence was observed in these patients.

Hospitalization Rates for Patients on Assisted Peritoneal Dialysis Compared with In-Center Hemodialysis

“…Assisted peritoneal dialysis (PD) has emerged as a treatment option for patients who wish to receive home dialysis but have significant barriers to self-care (1)(2)(3)(4)(5)(6)(7). Patients on assisted PD are significantly older and have a higher burden of comorbidity compared with patients on self-care PD, and therefore, adverse events may be common, including hospitalization, peritonitis, and death (8,9).…”

Chronic kidney disease and support provided by home care services: a systematic review

“…Two PD cohort studies [53,54] relied on data from regional dialysis units. The remaining three PD cohort studies [49,50,57] and all of the non-comparative and cross sectional PD studies [58-61] used data from a single hospital/dialysis unit. Of the 14 PD studies, 6 were from France [48,50-52,55,56], 3 from Canada [53,54,58], 2 from the United States of America (USA) [60,61] and one each from China [57], Taiwan [49] and Brazil [59].…”

“…Of the 17 studies included in this review, 3 focused on elderly patients [48,49,53] with average age of the study samples ranging from 73 years [49] to 82 years [48]. In the remaining studies with pertinent information, average age ranged from 55 years [56,61] to 69 years [63].…”

“…The two studies that examined HC interventions for HD patients [62,63] and most of the HC assisted PD studies [48,50-53,55,56,58,60] focused on assistance dialysis patients received from a nurse. Two of the remaining studies [61,64] considered the effects of HC teams and the rest focused on assistance received from either a home-assistant where a background in healthcare was not necessary [49,57], a nurse assistant [59] or a nurse or a healthcare aid [54]. …”

“…Studies that focused on elderly concluded that the probability of technique failure was similar between HC (nurse) assisted PD patients and comparators including patients on self care PD [48] and traditional modalities (i.e., self care PD and in-center HD) [53]. The probability of technique failure following an episode of peritonitis was also similar between home-assistant assisted PD and self care PD and family assisted PD patients [49]. …”