urgent start PD

Q: Urgent-start peritoneal dialysis is associated with worse outcomes than urgent-start hemodialysis?

A) True
B) False


Answer: B

The objective of the above question is to highlight the difference between emergent and urgent-start dialysis. 

Emergent hemodialysis is required for hyperkalemia, volume overload, or marked uremia. 

Urgent-start dialysis is the need for dialysis in newly diagnosed end-stage renal disease (ESRD) patients. Urgent-start peritoneal dialysis is a very useful alternative since more than half of all new dialysis patients do not have a dialysis plan. Outcomes in urgent-start peritoneal dialysis are as good as urgent-start hemodialysis with no difference in overall mortality. Actually, urgent-start hemodialysis is found to have a higher incidence of bacteremia.

#nephrology
#procedures



References:

1. Jin H, Fang W, Zhu M, et al. Urgent-Start Peritoneal Dialysis and Hemodialysis in ESRD Patients: Complications and Outcomes. PLoS One 2016; 11:e0166181. 

2. Koch M, Kohnle M, Trapp R, et al. Comparable outcome of acute unplanned peritoneal dialysis and haemodialysis. Nephrol Dial Transplant 2012; 27:375.