Barriers to and constraints of acute peritoneal dialysis in acute kidney injury: A nationwide survey
Issued Date
2022-01-01
Resource Type
ISSN
08968608
eISSN
17184304
Scopus ID
2-s2.0-85101150567
Pubmed ID
33588659
Journal Title
Peritoneal Dialysis International
Volume
42
Issue
1
Start Page
92
End Page
95
Rights Holder(s)
SCOPUS
Bibliographic Citation
Peritoneal Dialysis International Vol.42 No.1 (2022) , 92-95
Suggested Citation
Treamtrakanpon W. Barriers to and constraints of acute peritoneal dialysis in acute kidney injury: A nationwide survey. Peritoneal Dialysis International Vol.42 No.1 (2022) , 92-95. 95. doi:10.1177/0896860821989878 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/86779
Title
Barriers to and constraints of acute peritoneal dialysis in acute kidney injury: A nationwide survey
Author(s)
Author's Affiliation
Ramathibodi Hospital
Siriraj Hospital
Translation Research Institute Australia
Chaiyapoom Hospital
The University of Queensland
Chulalongkorn University
Faculty of Medicine, Prince of Songkia University
Princess Alexandra Hospital
King Chulalongkorn Memorial Hospital
Maharaj Nakhon Ratchasima Hospital
Faculty of Medicine, Chulalongkorn University
Banphaeo Hospital
Maharaj Nakhon Si Thammarat Hospital
Chaophraya Abhaibhubejhr Hospital
Siriraj Hospital
Translation Research Institute Australia
Chaiyapoom Hospital
The University of Queensland
Chulalongkorn University
Faculty of Medicine, Prince of Songkia University
Princess Alexandra Hospital
King Chulalongkorn Memorial Hospital
Maharaj Nakhon Ratchasima Hospital
Faculty of Medicine, Chulalongkorn University
Banphaeo Hospital
Maharaj Nakhon Si Thammarat Hospital
Chaophraya Abhaibhubejhr Hospital
Other Contributor(s)
Abstract
This national survey of barriers to and constraints of acute peritoneal dialysis (aPD) in acute kidney injury (AKI) was performed by distributing an online questionnaire to all medical directors of public dialysis units registered with the Nephrology Society of Thailand during September–November 2019. One hundred and thirteen adult facilities responded to the survey covering 75 from 76 provinces (99%) of Thailand. aPD was performed in 66 centres (58%). In facilities where aPD practice was available, the utilization rate was relatively low (<10 cases/year) and limited to specific conditions, including HIV seropositive patients, previous receiving dialysis education and plan and difficult vascular access creation. Only 9% of facilities performed aPD routinely, but interestingly all such units permitted bedside catheter insertion by the nephrologists or internists. The major constraints placed on aPD practice were PD catheter insertion competency, timely catheter insertion support and the medical supporting team’s knowledge/competency deficits. aPD for AKI is underutilized in Thailand and limited by the inability to undertake timely PD catheter insertion and knowledge and competency deficits.