Postoperative mortality in peritoneal dialysis: analytic study in patients with peritonitis

Abstract

The number of patients with end-stage renal disease (ESRD) who receive peritoneal dialysis (PD) therapy has been increasing worldwide because of the improvement in PD techniques and concomitant patient survival. PD-related peritonitis remains the leading cause of technique failure in PD therapy. The purpose of this study is to analysis the risk factors that lead to mortality in patients receiving PD who needs surgery. Retrospective study included 44 patients with peritoneal dialysis (PD) subjects to elective surgery for peritonitis. Collected data regarding demographic analysis, number of PD followed by peritonitis episodes, type of surgical operation and mortality due to peritonitis. The resulted data explained that PD with gastrointestinal surgery resulted with peritonitis were encountered in 10 patients and PD with cirrhosis patients increased mortality in old patients (p = 0.02). However, mortality increased with old age in patients with ischemic heart disease (p = 0.004). Furthermore, the results of binary logistic regression analysis for age (odds ratio [OR]= 1.09; 95% Cl [1.012-1.193]; p=0.012), ischemic heart diseases [OR] = 52.1; 95% Cl [5.192-433.631]; p=0.011. In conclusions surgical operations that performed in peritonitis patients due to PD needs experienced centers with professional staff.