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Pediatric Nephrology

, Volume 16, Issue 12, pp 996–1001 | Cite as

Patient survival and causes of death on hemodialysis and peritoneal dialysis – single-center study

  • M. Litwin
  • R. Grenda
  • S. Prokurat
  • M. Abuauba
  • J. Latoszyñska
  • K. Jobs
  • A. Boguszewska-Baczkowska
  • Z. T. Wawer
Dialysis / Original Article

Abstract.

Survival and causes of death in children dialyzed in a single center were analyzed. During the last 12 years a chronic dialysis program was introduced in 146 children in our center and 125 of them, eligible for observation, were included in this analysis; 58 patients were on hemodialysis (HD) and 67 on peritoneal dialysis [continuous ambulatory peritoneal dialysis/automated peritoneal dialysis (CAPD/APD)]. Mean age at the start of dialysis was 13.1 years in HD and 9.8 years in CAPD/APD patients. Overall, 16 patients died (12.5%); 6 (10.3%) on HD and 10 (14.9%) on CAPD/APD; 4 HD patients died of hemorrhagic stroke and 2 were killed in road traffic accidents. Of 10 CAPD/APD patients, 7 died of heart failure, ischemic stroke, and/or disseminated thromboembolic disease. Another was killed in a road traffic accident and 2 died during the course of severe infections. The 1-year patient survival rate was 96.6% in HD patients and 95% in CAPD/APD patients, 2-year survival 94% and 93% and 5-year survival 91% and 78%, respectively (P=0.2, NS). In conclusion, the survival rate for HD and CAPD patients is similar, although after 2 years of therapy, it is lower in CAPD patients. The main causes of death are cardiovascular. However, in CAPD/APD patients, heart failure with low cardiac output and thromboembolic complications are major causes of death, and in HD patients the main cause is hemorrhagic stroke.

Keywords Dialysis Mortality Survival Peritoneal dialysis Hemodialysis 

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Copyright information

© IPNA - International Pediatric Nephrology Association New York, USA 2001

Authors and Affiliations

  • M. Litwin
    • 1
  • R. Grenda
    • 1
  • S. Prokurat
    • 1
  • M. Abuauba
    • 1
  • J. Latoszyñska
    • 1
  • K. Jobs
    • 1
  • A. Boguszewska-Baczkowska
    • 1
  • Z. T. Wawer
    • 1
  1. 1.Department of Nephrology and Kidney Transplantation, The Children’s Memorial Health Institute, Al. Dzieci Polskich 20, 04-736 Warsaw, Poland. Mieczyk@zigzag.plPL

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