Korean J Med.  1998 Apr;54(4):479-487.

Peritoneal Equilibration Tests on Continuous Ambulatory Peritoneal Dialysis patients

Affiliations
  • 1Department of Internal Medicine, Chonnam university Medical School, Kwangju, Korea.

Abstract


OBJECTIVES
The peritoneal equilibration test(PET) is routinely performed in adults treated with chronic peritoneal dialysis to assess the peritoneal transport rate and to optimize treatment prescription. This study focuses on the evaluation of characteristics of peri toneal solute transport rates and physical and serological factors affecting peritoneal transport rate performed in our continuous ambulatory peritoneal dialysis(CAPD) patients due to guide adequate peri toneal dialysis form.
METHODS
We analyzed 95 PET results which had been tested on the 28th day of CAPD and physical and serological values, such as age, sex, diabetes mellitus, height, weight, body surface area, arterial blood pressure, blood urea nitrogen, creatinine, glucose, cholesterol, triglyceride, total protein, albumin, hematocrit, hemoglo bin, sodium, potassium, phosphate which had been ob tained on the day of PET.
RESULTS
1) According to transport rate, high transport rate group was 9 cases(9.5%), high average transport group 26 cases(27.4%), low average transport rate group 32 cases(33.6%), and low transport rate group 28 cases (29.5%) respectivly. 2) The average of 4hour D/PCr was 0.60, 4hour D/Do glucose was 0.46, and drain volume was 2480ml. Thus the average of peritoneal solute transport rate of total patients was low average transport rate. 3) Factors affecting peritoneal solute transport rate were age, body surface area, plasma albumin, serum creatinine and triglyceride level.
CONCLUSION
These findings suggest that high dose peritoneal dialysis form should be used in our CAPD patients because most of them have low average peritoneal transport rate, and age, body surface area, plasma albumin, serum creatinine, and triglyceride level should be consid ered when select the adequate peritoneal dialysis form.

Keyword

Peritoneal Equilibration Test(PET); Chronic renal failure; Continuous Ambulatory Peritoneal Dialysis (CAPD); Peritoneal solute transport rate

MeSH Terms

Adult
Arterial Pressure
Blood Urea Nitrogen
Body Surface Area
Body Weight
Cholesterol
Creatinine
Diabetes Mellitus
Dialysis
Glucose
Hematocrit
Humans
Kidney Failure, Chronic
Peritoneal Dialysis
Peritoneal Dialysis, Continuous Ambulatory*
Potassium
Prescriptions
Serum Albumin
Sodium
Triglycerides
Cholesterol
Creatinine
Glucose
Potassium
Serum Albumin
Sodium
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