Technique Failure in Peritoneal Dialysis: Etiologies and Risk Assessment
Technique Failure in Peritoneal Dialysis: Etiologies and Risk Assessment
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DOI：
10.1159/000508159
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发表时间：
2021-01-01
影响因子：
3
通讯作者：
Ronco, Claudio
中科院分区：
文献类型：
--
作者：
Da Luz, Lucas G.;Ankawi, Ghada;Ronco, Claudio
技术失败(TF)是腹膜透析(PD)患者面临的公认挑战。确定有这种并发症风险的患者是至关重要的。及早发现有危险的患者并制定预防策略可以提高技术存活率，这可能会增加PD的利用率。一旦患者被确认为TF，它还将促进安全和有计划地转移到血液透析。这篇综述的目的是总结与转移相关的风险因素和情景，重点是在早期阶段预防可补救的因素。此外，应考虑将这些知识整合到质量改进倡议中，以努力改善结果。
Technique failure (TF) is a well-recognized challenge encountered in patients undergoing peritoneal dialysis (PD). Identification of patients at risk for this complication is of utmost importance. Early detection of patients at risk and development of preventative strategies can improve technique survival that may lead to an increased utilization of PD. It will also promote a safe and planned transfer to hemodialysis once a patient identified with TF. The aim of this review is to summarize risk factors and scenarios associated with TF focusing on prevention of remediable factors at their earliest stage. Furthermore, integration of this knowledge into quality improvement initiatives should be entertained in an effort to improve outcomes.