Long-Term Predictors of Mortality in Peritoneal Dialysis Patients

Özet

Objective: Peritoneal dialysis (PD) is one of the essential treatments for end-stage renal disease. Cardiovascular diseaseand peritonitis are the most common causes of death among PD patients. This study aimed to explore the long-term mortality predictors of PD patients.Methods: One hundred forty-one PD patients were retrospectively included in the study. Patients were selected amongcases admitted to the PD outpatient clinic between January 2015 and November 2020. Clinical and laboratory findingsobtained at the first visit were recorded. Prevalence of all-cause mortality and associated prognostic factors were analyzed.Results: The mean age of the patients was 52.5 ± 15.2 years (range 19-86). Thirty-two patients (22.7%) died in the followup. Age, hemodialysis (HD) history, diabetes mellitus (DM), ultrafiltration, urine volume, glomerular filtration rate, and normalized protein catabolic rate in modified peritoneal equilibrium test were significantly different between survived andnon-survived patients. Non-survived patients had higher ferritin, C-reactive protein (CRP), and CRP to albumin ratio (CAR)(P: .003, P: 1.94 predicted allcause-mortality with 73% sensitivity and 71% specificity (AUC = 0.789, 95%CI: 0.697-0.881).Conclusion: The present study demonstrates that DM, HD history, and high CAR are independent predictors of all-causemortality among PD patients.