Publication: The Survival and Associated Factors for Patients on Peritoneal Dialysis With History of Admission From Volume Overload
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Issued Date
2024-03-01
Resource Type
ISSN
16758544
eISSN
26369346
Scopus ID
2-s2.0-85188682690
Journal Title
Malaysian Journal of Medicine and Health Sciences
Volume
20
Issue
2
Start Page
11
End Page
17
Rights Holder(s)
SCOPUS
Bibliographic Citation
Malaysian Journal of Medicine and Health Sciences Vol.20 No.2 (2024) , 11-17
Suggested Citation
Thuanman J., Sangthawan P., Thinkhamrop K., Thinkhamrop B., Thinkhamrop J., Changsirikulchai S. The Survival and Associated Factors for Patients on Peritoneal Dialysis With History of Admission From Volume Overload. Malaysian Journal of Medicine and Health Sciences Vol.20 No.2 (2024) , 11-17. 17. doi:10.47836/mjmhs.20.2.3 Retrieved from: https://hdl.handle.net/20.500.14740/20085
Corresponding Author(s)
Other Contributor(s)
Abstract
Introduction: Patients with peritoneal dialysis (PD) who develop volume overload (VO) have high risks of dropout from death or advancement to hemodialysis. We aimed to determine the mortality rates, associated factors, and patient survival rates of PD patients who had history of admission from VO. Methods: We reviewed data of PD patients who were registered in the Database of Peritoneal dialysis in EXcel (DPEX) from January 2008 to December 2018. They were followed until death or the end of June 2020. Patients with at least 18 years of age and history of admission from VO were classified into two groups. Group A had a history of VO after starting PD. Group B had a history of VO before and after starting PD. The mortality rates were calculated. Patient survival and associated factors were evaluated by Kaplan-Meier and multiple cox regression, respectively. Results: 1,882 patients had history of admission from VO. The overall mortality rate was 28.9 per 100 person-years. The mortality rates in group A and group B were 25.4 and 41.7 per 100 person-years, respectively. Patients in group A had lower age, fewer comorbidities, longer dialysis vintage, and better patient survival than those in group B. Factors related to worsening patient survival were increased age, diabetes, and comorbidities. Conclusion: Patients with history of admission from VO before and after the start of PD had higher mortality rates than those with history of admission from VO after PD. Increased age, diabetes, and comorbidities were the associated factors of patient survival.