ACUTE PERITONEAL DIALYSIS AS A BRIDGE THERAPY IN CRITICALLY ILL PATIENTS OF ACUTE KIDNEY INJURY

Manjuri Sharma, Shruti Dange*, Indakiewlin Kharbuli, Prodip Kumar Doley, Gayatri Pegu, Manas Gope6

ABSTRACT

Acute kidney injury (AKI) is a major cause of hospitalization and associated with high mortality. Recent evidences have suggested that outcomes of acute peritoneal dialysis (APD) in patients of AKI admitted to ICU is as good as hemodialysis. The present single centre study was planned to evaluate the effect of Acute PD as a bridge therapy in patients of AKI admitted to intensive care unit (ICU). Materials and Methods: This was a single center retrospective observational study done on patients of AKI admitted to GMCH hospitals ICU and nephrology department from January 2013 to December 2020. These patients had received acute peritoneal dialysis as a bridge therapy. Results: A total of 118 patients record were included in the present study. Most common cause of AKI was sepsis. Majority of the patients were converted to intermittent HD which comprised of 64 patients (54%), while 30 patients (25%) recovered after APD and 22 patients (18.6%) died due to underlying disease. Conclusion: Acute peritoneal dialysis is a good modality of renal replacement therapy in patients of acute kidney injury who all are critically ill and it could be used as a bridge therapy for intermittent haemodialysis in resource poor setting with minimum monitoring and expertise.

Keywords: Acute Kidney Injury, peritoneal dialysis, ICU, hemodialysis.