BPU464347_sm1.docx (17.57 kB)
Download file

Supplementary Material for: Sudden Death in End Stage Renal Disease: Comparing Hemodialysis versus Peritoneal Dialysis

Download (17.57 kB)
journal contribution
posted on 31.03.2017, 08:05 by Genovesi S., Porcu L., Luise M.C., Riva H., Nava E., Contaldo G., Stella A., Pozzi C., Ondei P., Minoretti C., Gallieni M., Pontoriero G., Conte F., Torri V., Bertoli S., Vincenti A.

Background/Aims: This study aimed to evaluate total and sudden death (SD) in a cohort of dialysis patients, comparing hemodialysis (HD) vs. peritoneal dialysis (PD). Methods: This is a multicenter retrospective cohort study. Results: Deaths were 626 out of 1,823 in HD and 62 of 249 in PD patients. HD patients had a greater number of comorbidities (p < 0.05). PD patients had a lower risk of death than HD patients (p < 0.001); however, the advantage decreased with time (p < 0.001). Mortality predictors were left ventricular ejection fraction (LVEF) ≤35%, older age, ischemic heart disease, diabetes mellitus, previous stroke, and atrial fibrillation (p < 0.03). SDs were 84:71 in HD and 13 in PD population (12.1 and 22.8% of all causes of death, respectively). A non-significant risk of SD among PD compared to HD patients was detected. SD predictors were older age, ischemic heart disease, and LVEF ≤35% (p < 0.05). Conclusions: HD patients showed a greater presence of comorbidities and reduced survival compared to PD patients; however, the incidence of SD does not differ in the 2 populations. Video Journal Club “Cappuccino with Claudio Ronco” at http://www.karger.com/?doi=464347.