Risk factors of ultrafiltration failure in patients undergoing peritoneal dialysis
10.3760/cma.j.cn341190-20220802-00629
- VernacularTitle:腹膜透析患者发生超滤衰竭相关危险因素分析
- Author:
Shulong WANG
1
;
Hongmei TAN
;
Shaoliang WANG
;
Cikui WANG
;
Juan WANG
;
Junfeng YUAN
Author Information
1. 武警湖北省总队医院泌尿外科，武汉 430061
- Keywords:
Peritoneal dialysis, Continuous ambulatory;
Ultrafiltration;
Serum albumin;
Peritonitis;
Cholesterol;
Triglycerides;
Factor analysis, statistical
- From:
Chinese Journal of Primary Medicine and Pharmacy
2024;31(2):191-195
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the incidence and risk factors of ultrafiltration failure (UFF) in patients undergoing continuous ambulatory peritoneal dialysis (CAPD).Methods:The clinical data of 65 patients undergoing CAPD at the Hubei Provincial Corps Hospital of Chinese People's Armed Police Forces and the General Hospital of Central Theater Command from January 2016 to December 2021 were retrospectively analyzed. The clinical data included patient history, smoking history, duration of peritoneal dialysis, incidence of peritonitis, levels of hemoglobin, albumin, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, total cholesterol, and triglyceride. Univariate and multivariate regression analyses were conducted to investigate the correlation between UFF and various indicators in patients undergoing CAPD.Results:Among the 65 patients undergoing CAPD, the incidence of UFF was 35.4% (23/65). There were significant differences in duration of peritoneal dialysis, history of peritonitis, history of type 2 diabetes mellitus, serum albumin, low-density lipoprotein cholesterol, and triglyceride between patients with UFF and those without UFF ( t = -5.05, χ2 = 11.51, 6.83, t = 5.91, -3.28, -2.83, all P < 0.05). Multivariate regression analysis showed that albumin was negatively correlated with UFF ( r = -1.06, P < 0.05), while duration of peritoneal dialysis, level of low-density lipoprotein cholesterol, and peritonitis were positively correlated with UFF ( r = 0.43, 2.20, 1.67, all P < 0.05). Conclusion:Peritoneal dialysis duration, peritonitis, and low-density lipoprotein cholesterol are risk factors for UFF in patients undergoing CAPD, while albumin is a protective factor against UFF in these patients.
