Title: A Study on Haemodialysis Vsperitoneal Dialysis in Acute & Chronic Renal Failure
Authors: Christopher Nesamony, Suresh Kumar, Manivel Ganesan
DOI: https://dx.doi.org/10.18535/jmscr/v5i2.157
Abstract
Background: Over the past few decades, Dialysis has become more effective in the management of acute & chronic renal failure and poisonings (Acute kidney injury). There are a number of studies which recommend either peritoneal or hemodialysis depending upon the clinical situations, facilities available and other factors. In clinical usage, the waste materials in the blood are filtered through the Semi permeable membranes and thus separated from the body. Semi permeable membrane could be natural as peritoneum or artificial as in the artificial kidney (dialyser). Thus, there are two modes of Dialysis namely Peritoneal and hemodialysis.
Materials and Methods: All the patients who have undergone Hamodialysis and peritoneal dialysis in Kanyakumari Government Medical College, General Medicine Department during the period from Jan 2015 to Jan 2017 were included in this study. All the patients were analyzed clinically and biochemically before taking for dialysis. Each dialysis sessions were watched carefully for complications. The aim of study is to find out the value of Dialysis in various medical disorders namely acute renal failure, chronic renal failure and poisoning& to find out the incidence and types of complications in peritoneal and hemodialysis & to compare the advantages and disadvantages of peritoneal dialysis and hemodialysis in various age groups and various disorders.
Observation and Results: In this study, a total of 742 patients who have undergone 1035 sessions of peritoneal dialysis and 839 sessions of hemodialysis were studied.601 peritoneal dialysis (males -394 & females -207) patients and 205 hemodialysis (males -133 & females -72) patients were analyzed. In this, 537 patients had undergone only peritoneal dialysis, 141 patients hemodialysis alone and 64 patients both hemodialysis and peritoneal dialysis. Complications of 12.51% & 19.7% occurred in patients who had undergone hemodialysis and peritoneal dialysis, respectively.
Conclusion: Dialysis was valuable in prolonging the life of CRF patients (44.69% of HD and 41.68% of PD patients.) Mortality during hospital stay was 7.06%. 10 patients went to transplantation. Dialysis was valuable in the management of dialysable poisons (1.05% of HD and 3.4% of PD in Patients). In HD, No death was recorded. In PD, death was 14.28%.
Keywords: Acute & chronic renal failure, Poisonings (Acute kidney injury), Dialysis.
