Patients with chronic kidney disease stage V (end-stage renal disease) requiring urgent initiation of dialysis, comparing urgent-start peritoneal dialysis with urgent-start hemodialysis using temporary catheter. Chronic Kidney Disease Stage V End-Stage Renal Disease Peritoneal Dialysis Hemodialysis Urgent-Start Dialysis Central Venous Catheters Dialysis Initiation Mortality Complications Randomized Controlled Trial
Conditions
Interventions
Patients assigned to urgent-start hemodialysis received temporary double lumen catheter insertion and initiation of hemodialysis within 24 hours of catheter placement,Patients assigned to urgent-start
Active Comparator Procedure/Surgery,Experimental Procedure/Surgery
Urgent-start Hemodialysis,Urgent-start Peritoneal dialysis
Sponsors
Surin Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Age between 18 and 75 years. 2. Chronic kidney disease stage V requiring urgent dialysis within 1 week.
Exclusion criteria
Exclusion criteria: 1. Age younger than 18 years or older than 75 years. 2. Contraindications to peritoneal dialysis or hemodialysis such as severe intraabdominal adhesions, active infection, uncontrolled shock, or severe respiratory failure. 3. Body mass index greater than 35 kg per square meter. 4. Severe electrolyte imbalance, for example serum potassium greater than 6.5 mEq per L or serum sodium less than 110 mEq per L. 5. Expected survival less than 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Technique survival 6 weeks, 12months Time from catheter insertion until technique failure | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient survival 6 weeks,12months Time from catheter insertion until death from any cause,Complications related to catheter placement 6weeks, 12months Incidence of complication (e.g.,bleeding, infection, catheter malfunction) with in follow-up period | — |
Countries
Thailand
Contacts
Public ContactWannapat Pitsawong
Surin Hospital
Outcome results
None listed