Background/Aims: This study aimed to evaluate total and sudden death (SD) in a cohort of dialysis patients, comparing hemodialysis (HD) vs. peritoneal dialysis (PD). Methods: This is a multicenter retrospective cohort study. Results: Deaths were 626 out of 1,823 in HD and 62 of 249 in PD patients. HD patients had a greater number of comorbidities (p < 0.05). PD patients had a lower risk of death than HD patients (p < 0.001); however, the advantage decreased with time (p < 0.001). Mortality predictors were left ventricular ejection fraction (LVEF) â¤35%, older age, ischemic heart disease, diabetes mellitus, previous stroke, and atrial fibrillation (p < 0.03). SDs were 84:71 in HD and 13 in PD population (12.1 and 22.8% of all causes of death, respectively). A non-significant risk of SD among PD compared to HD patients was detected. SD predictors were older age, ischemic heart disease, and LVEF â¤35% (p < 0.05). Conclusions: HD patients showed a greater presence of comorbidities and reduced survival compared to PD patients; however, the incidence of SD does not differ in the 2 populations. Video Journal Club "Cappuccino with Claudio Ronco" at http://www.karger.com/?doi=464347.
Sudden Death in End Stage Renal Disease : Comparing Hemodialysis versus Peritoneal Dialysis / S. Genovesi, L. Porcu, M..C. Luise, H. Riva, E. Nava, G. Contaldo, A. Stella, C. Pozzi, P. Ondei, C. Minoretti, M. Gallieni, G. Pontoriero, F. Conte, V. Torri, S. Bertoli, A. Vincenti. - In: BLOOD PURIFICATION. - ISSN 0253-5068. - 44:1(2017 Apr 01), pp. 77-88.
|Titolo:||Sudden Death in End Stage Renal Disease : Comparing Hemodialysis versus Peritoneal Dialysis|
|Parole Chiave:||hemodialysis; mortality; peritoneal dialysis; regression models; sudden death; hematology; nephrology|
|Settore Scientifico Disciplinare:||Settore MED/14 - Nefrologia|
Settore MED/11 - Malattie dell'Apparato Cardiovascolare
|Data di pubblicazione:||1-apr-2017|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1159/000464347|
|Appare nelle tipologie:||01 - Articolo su periodico|