Clinical Acute Kidney Injury 2 (original) (raw)

Introduction and Aims: Acute peritoneal dialysis (PD) is one of the treatments of choice for acute kidney injury (AKI) patients. Acute PD can be performed both in and out of the intensive care unit (ICU). Furthermore, acute PD need less sophisticated equipment and more available than the continuous venovenous hemodialysis (CVVH). However, the large outcome series of acute PD in AKI have never been documented. Methods: We retrospectively reviewed the data in the tertiary teaching-based hospital in the northeastern part of Thailand. During October 2011 to September 2012, 167 AKI patients had been received the acute PD treatment. Baseline characteristic data, time to start acute PD and clinical outcomes were collected. Results: Nighty-four acute PD patients were analyzed. Mean age of patients was 56 ± 16 years. Median BUN and Cr at start acute PD were 70.5 and 6.28 mg/dl. Most of patients (86%) required inotropic drugs and ventilator support (90.4%) at the starting acute PD. About 73.4% of patients were monitored in ICU. About 28.7% of patients were performed acute PD during the nighttime (6 P.M. to 6 A.M.). Overall mortality was 67%. There was no difference in mortality rate between the time to starting acute PD (daytime and nighttime, 64.1% vs 74.1%, P=0.35 respectively). Twenty-five percentages of patients had PD peritonitis. Conclusions: Acute PD is the one of the dialysis support in AKI patients especially in the hemodynamically unstable patients and unavailable CVVH. However, the mortality rate of AKI patients was still high despite acute PD support.