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02.05.2024 | Original Article

Sodium removal per ultrafiltration volume in automated peritoneal dialysis in pediatric patients

verfasst von: Takashi Tokunaga, Riku Hamada, Tomohiro Inoguchi, Chikako Terano, Naoaki Mikami, Ryoko Harada, Yuko Hamasaki, Kenji Ishikura, Hiroshi Hataya, Masataka Honda

Erschienen in: Pediatric Nephrology

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Abstract

Background

The standard rate of sodium removal in adult anuric patients on continuous ambulatory peritoneal dialysis (CAPD) is 7.5 g/L of ultrafiltration volume (UFV). Although automated PD (APD) is widely used in pediatric patients, no attempt has yet been made to estimate sodium removal in APD.

Methods

The present, retrospective cohort study included pediatric patients with APD who were managed at Tokyo Metropolitan Children’s Medical Center between July 2010 and November 2017. The patients underwent a peritoneal equilibrium test (PET) at our hospital. Sodium removal per UFV was calculated by peritoneal function and dwell time using samples from patients on APD with 1- and 2-h dwell effluent within three months of PET and 4- and 10-h dwell effluent at PET.

Results

In total, 217 samples from 18 patients were included, with 63, 81, and 73 of the samples corresponding to the High [H], High-average [HA], and Low-average [LA] PET category, respectively. Sodium removal per UFV (g/L in salt equivalent) for dwell times of one, two, four, and ten hours was 5.2, 8.8, 8.0, and 11.5 for PET [H], 5.3, 5.8, 5.6, and 8.1 for PET [HA], and 4.6, 5.1, 5.1, and 7.1 for PET [LA], respectively.

Conclusions

Sodium removal per UFV in pediatric APD was less than the standard adult CAPD and tended to be lower with shorter dwell times, leading to sodium accumulation. Therefore, salt intake should be restricted in combination with one or more long daytime dwells, especially in anuric patients.

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Titel: Sodium removal per ultrafiltration volume in automated peritoneal dialysis in pediatric patients
verfasst von: Takashi Tokunaga
Riku Hamada
Tomohiro Inoguchi
Chikako Terano
Naoaki Mikami
Ryoko Harada
Yuko Hamasaki
Kenji Ishikura
Hiroshi Hataya
Masataka Honda
Publikationsdatum: 02.05.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Nephrology
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-024-06383-9

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Sodium removal per ultrafiltration volume in automated peritoneal dialysis in pediatric patients

Abstract

Background

Methods

Results

Conclusions

Graphical Abstract

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Abstract

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Graphical Abstract

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Neu im Fachgebiet Pädiatrie

Ähnliche Überlebensraten nach Reanimation während des Transports bzw. vor Ort

Alter der Mutter beeinflusst Risiko für kongenitale Anomalie

Begünstigt Bettruhe der Mutter doch das fetale Wachstum?

Bei Amblyopie früher abkleben als bisher empfohlen?

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