Role of Acute Peritoneal Dialysis in AKI Patients: A Retrospective Analysis
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Abstract
Background: Despite being a simplified and universally available intervention, acute peritoneal dialysis (PD) procedure is underutilized in treatment of acute kidney injury (AKI) patients. At places where facilities of hemodialysis are limited or not available; PD may provide a useful and equally effective alternative renal replacement therapy. Methods: A retrospective analysis of all acute PD sessions performed by the authors during last 11 years was done. Demographic profile of patients, various complications reported, and patient outcome was studied. Results: During study period, a total of 3042 Acute PD sessions were performed in 2629 patients. The mean numbers of PD cycles were 39.2±15.1 (range; 12- 48 cycles) with total PD fluid volume of 79.2±14.8 (range; 24-111 litre) used per session. Poor outflow was the most common complication observed (n-318, 10.4%), while peritonitis was observed in 268 (8.8%) cases. Serious complications of organ perforation by PD catheter were observed in only 04 (0.13%) cases. Mean Urea reduction ratio were 46.2% and 60.8%, at 24 hours and at end of sessions, respectively. Conclusion: Acute PD is an efficient and cost-effective renal replacement modality in AKI patients with acceptable complication rates. In resource poor settings, it provides a viable alternative to hemodialysis.
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Copyright (c) 2025 Surendra Singh Rathore, DM, Kumari Nirja, MD
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