Abstract

CIRERA SEGURA, Francisco  and  MARTIN ESPEJO, Jesús Lucas. Influence of the initial glucose load on patients undergoing peritoneal dialysis. Rev Soc Esp Enferm Nefrol [online]. 2010, vol.13, n.1, pp.37-43. ISSN 1139-1375.

The aims of the study were to determine whether different glucose loads at the start of peritoneal dialysis could be negative for survival of the technique or of the patients, and to find out what factors affect them and how nursing staff can act in this regard. A retrospective study was carried out from 2004 to 2008. The sample comprised 63 patients, classified in 3 groups according to the glucose concentration. Epidemiological, analytical, peritoneal transport and rinsing, comorbility and dialysis dose data were compiled. The results show that the three groups were differentiated by the total glucose weight (p=0.001), average concentration (p<0.001), serum albumin (p<0.05), and the dialysate/creatinine plasma quotient (p=0.036). There were 15 deaths, with no significant differences found for the survival of the patients between the groups (p=0.163), although first-year survival was 95.2%, 94.1% and 78.4%. The factors that influenced survival were age, cardiovascular disease, total Kt/V, diuresis and albumin. Failure of the technique occurred in 8 patients and there were no differences between the groups (p=0.769), nor any independent factors affecting the survival of the technique. In conclusion, we have been unable to prove that a higher initial glucose load affects the survival of the patients or of the technique.

Keywords : Peritoneal dialysis; Glucose; Osmotic agent; Survival; Nursing.

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