Risk factors for morbidity and mortality in pediatric patients with peritoneal dialysis catheters.
Publication/Presentation Date
1-1-2013
Abstract
PURPOSE: As peritoneal dialysis (PD) is the preferred long-term dialysis modality in the pediatric population, we sought to identify risk factors for mortality and reoperation.
METHODS: A retrospective review of patients undergoing PD catheter insertions at a single center from 1994-2009 was performed. The following variables were evaluated: age (<1 >year), comorbidities, omentectomy, concomitant gastrostomy, and laparoscopic technique. Multivariable Cox regressions analyses were used to evaluate patient survival and reoperation-free survival of PD catheters.
RESULTS: 207 patients with a median age of 10 years underwent PD insertion. Mortality was 7% with a median follow up of 72 months. Reoperation for malfunction and infection was required in 49% of patients with a median PD catheter survival of 11 months. Reoperation for hernias occurred in 14% of patients. Multivariate Cox regressions analyses identified age <1 >year, lack of omentectomy, concomitant gastrostomy, and prematurity as variables significantly associated with higher rates of mortality or reoperation.
CONCLUSIONS: In this large study of pediatric patients undergoing PD, higher complication rates were noted in infants less than one year of age. Concomitant gastrostomy was associated with a higher rate of reoperation for infection. Failure to perform omentectomy was associated with a higher rate of catheter failure.
Volume
48
Issue
1
First Page
197
Last Page
202
ISSN
1531-5037
Published In/Presented At
Phan, J., Stanford, S., Zaritsky, J. J., & DeUgarte, D. A. (2013). Risk factors for morbidity and mortality in pediatric patients with peritoneal dialysis catheters. Journal of pediatric surgery, 48(1), 197–202. https://doi.org/10.1016/j.jpedsurg.2012.10.035
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
23331815
Department(s)
Department of Pediatrics
Document Type
Article
