1Sarjito Hospital, Yogyakarta, Indonesia
Background. Currently Continuous Ambulatory Peritoneal Dialysis (CAPD) and hemodialysis (HD) are the two main modalities of renal replacement therapy in many Asian countries with varying proportions. In Indonesia, the percentage of CAPD patients 2% and HD patients 98% of total patients with CKD stage 5 dialysis. By 2016 the number of CAPD patients is increasing every year, but the dropout rate is still high.
Methods. We investigated bioclinical and patient-reported information from 73 the outpatient records of all CKD stage 5 patients treated with CAPD in Sardjito General Hospital. The assessed variable is age, sex, duration of CAPD and most common predisposing factors.
Results. A total of 73 CAPD patients at Sardjito General Hospital, 71,23 % were men, the median age of patients starting CAPD 36 (29- 44) years, average duration of CAPD 3 years. Most common predisposing factors are hypertension (32.97%), diabetes mellitus (15.39%), consumption of supplements / drugs (16.49%), urinary tract stones (6.59%), urinary tract infections (6, 59%), kidney cyst (4.39%), others (12.09%) and unknown (5.49%). Men had worse risk profiles than women and were more likely to be past or current smokers (73% versus 34%), have cardiovascular disease (59% versus 42%) and had uncontrolled blood pressure ( 68 % vs 27 % ). During the previous year, 60% of patients reported hospitalized caused by peritonitis (84% ) and cardiovascular disease (16% ).
Conclusion. The profile of CAPD patients in Sardjito General Hospital showed that the mean age of patients starting CAPD was 36 years, mean CAPD duration was 3 years, and the most common predisposing factor was hypertension (32.97%).
Keywords. Characteristic CAPD Patients, Continuous Ambulatory Peritoneal Dialysis, Chronic Kidney Disease
Medical doctor 199
Internal medicine 2006
Fellow of nephrology 2016