Analysis of risk factors of postoperative mortality in peritoneal dialysis patients with developed peritonitis

Abstract. Peritoneal dialysis (PD)-associated peritonitis can lead to dysfunction in PD delivery as a result of thickening the peritoneal membrane, usually due recurrent peritonitis, and with ileus or intestinal perforation. This study sought investigate risk factors that mortality patients receiving who underwent surgery for peritonitis.
 Methods. The was designed retrospective observational included 36 received surgical treatment between 2011 2020. Data on patient demographics, comorbid diseases, duration application, number episodes PD, procedures performed postsurgical morbidity rates were collected.
 Results. It found increased advancing age coronary artery disease (CAD) compared those without CAD, this increase statistically significant (p = 0.002). In addition, it determined accompanying cirrhosis significantly elderly 0.043). considering performed, segmental small-bowel resection (n 16) mostly perforation, no additional pathological findings other than encountered 12 patients. Mortality occurred eight advanced-age group one among operated peritonitis. No difference rate according procedure 0.512). Binary logistic regression analysis applied age, coroner diseases (CAD), time mortality. Respectively, (odds ratio [OR]= 1.09; 95% Cl [1.013-1.193]; p=0.024), CAD [OR] 43.7; [5.191-368.755]; p <.001 1.786; [1.060-3.010]; p=0.029 calculated.
 Conclusions. by 1.09 times each one-year after 52.5 years also 43.7 times. Prolonged especially 11.5 months, peritonitis-related 1.7 We propose since interventions may be PD; do not mortality, an appropriate safely experienced centers before is too late.