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Influencia del marcaje previo en las complicaciones post colocación del catéter de diálisis peritoneal.

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Title: Influencia del marcaje previo en las complicaciones post colocación del catéter de diálisis peritoneal.
Alternate Title: Influence of pre-marking on post-peritoneal dialysis catheter placement complications.
Authors: Menéndez-Servide, Fabiola1 meserfa@gmail.com, Fernández-Pérez, Mónica1,2, Suárez-Álvarez, Adela1, Blanco-Sierra, Jessica1, Pasarón-Alonso, Magdalena1, Núñez-Moral, Miguel1,2
Source: Enfermería Nefrológica. abr-jun2024, Vol. 27 Issue 2, p152-156. 5p.
Subjects: PERITONEAL dialysis, RISK assessment, LOGISTIC regression analysis, CATHETERIZATION, PREOPERATIVE care, SURGICAL complications, LONGITUDINAL method, ODDS ratio, CONFIDENCE intervals, SURGICAL site
Abstract (English): Introduction: Good peritoneal access is essential for performing peritoneal dialysis (PD). Our PD unit uses a technique for pre-surgical marking of the peritoneal catheter. The study aimed to evaluate the influence of pre-surgical marking on complications related to post-PD catheter placement. Materials and Method: This is a cohort study. We included patients over 18 who underwent peritoneal catheter placement in 2018, corresponding to the cohort without marking, and in 2022, corresponding to the cohort with marking. The variables analysed were age, sex, complications, and solutions to complications. Using logistic regression, we calculated the Odds Ratio (OR) of complications for the labelled group and its 95% confidence interval. Results: 107 patients were analysed. The mean age was 65.6±12.2 years, and 73.8% were male. Of the 56 patients without tagging, 33 suffered complications compared to 18 in the cohort with tagging. OR 0.36 (95% CI 0.16 to 0.79). 38.9% of complications had resolution in the tagging group vs 24.2% in the non-tagging group. Conclusions: Patients with pre-surgical marking have a 64% lower risk of complications. This effect does not lose magnitude when adjusted for age and sex (OR 0.39 (95% CI 0.17-0.86). Complications in the marked cohort were resolved more frequently than in the unmarked cohort. We conclude that pre-marking the catheter reduces post-surgical complications. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: Un buen acceso peritoneal es imprescindible para la realización de la Diálisis Peritoneal, pudiendo constituir la técnica de marcaje prequirúrgico un punto clave en la aparición de complicaciones. El objetivo de nuestro estudio fue evaluar la influencia del marcaje pre-quirúrgico en las complicaciones post-colocación del catéter de diálisis peritoneal. Material y Método: Estudio de cohortes; incluimos a los pacientes mayores de 18 años a quienes se les colocó un catéter peritoneal en 2018 (cohorte sin marcaje) y en 2022 (cohorte con marcaje). Las variables analizadas fueron: edad, sexo, complicaciones y evolución de estas. Realizamos un análisis multivariante mediante regresión logística, calculando la Odds Ratio (OR) y el intervalo de con- fianza 95% de aparición de complicaciones. Resultados: Se analizaron 107 pacientes, 73,8% hombres y una edad media de 65,6 ± 12,2 años. De los 56 pacientes sin marcaje, 33 sufrieron complicaciones, frente a 18 de los 51 en la cohorte con marcaje. La OR de complicaciones ajustad por edad y sexo del grupo marcaje frente a no marcaje fue 0,39, IC 95%:0,17-0,86. El 38,9% de las complicaciones fueron resueltas en el grupo de marcaje frente al 24,2% en el grupo sin marcaje (p=0,548). Conclusiones: La técnica de marcaje previo del catéter de diálisis peritoneal se asocia a una reducción de las complicaciones postquirúrgicas en estos pacientes. [ABSTRACT FROM AUTHOR]
Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Influencia del marcaje previo en las complicaciones post colocación del catéter de diálisis peritoneal.
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  Data: Influence of pre-marking on post-peritoneal dialysis catheter placement complications.
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  Data: <searchLink fieldCode="AR" term="%22Menéndez-Servide%2C+Fabiola%22">Menéndez-Servide, Fabiola</searchLink><relatesTo>1</relatesTo><i> meserfa@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Fernández-Pérez%2C+Mónica%22">Fernández-Pérez, Mónica</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Suárez-Álvarez%2C+Adela%22">Suárez-Álvarez, Adela</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Blanco-Sierra%2C+Jessica%22">Blanco-Sierra, Jessica</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Pasarón-Alonso%2C+Magdalena%22">Pasarón-Alonso, Magdalena</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Núñez-Moral%2C+Miguel%22">Núñez-Moral, Miguel</searchLink><relatesTo>1,2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Enfermería+Nefrológica%22">Enfermería Nefrológica</searchLink>. abr-jun2024, Vol. 27 Issue 2, p152-156. 5p.
– Name: Subject
  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22PERITONEAL+dialysis%22">PERITONEAL dialysis</searchLink><br /><searchLink fieldCode="DE" term="%22RISK+assessment%22">RISK assessment</searchLink><br /><searchLink fieldCode="DE" term="%22LOGISTIC+regression+analysis%22">LOGISTIC regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22CATHETERIZATION%22">CATHETERIZATION</searchLink><br /><searchLink fieldCode="DE" term="%22PREOPERATIVE+care%22">PREOPERATIVE care</searchLink><br /><searchLink fieldCode="DE" term="%22SURGICAL+complications%22">SURGICAL complications</searchLink><br /><searchLink fieldCode="DE" term="%22LONGITUDINAL+method%22">LONGITUDINAL method</searchLink><br /><searchLink fieldCode="DE" term="%22ODDS+ratio%22">ODDS ratio</searchLink><br /><searchLink fieldCode="DE" term="%22CONFIDENCE+intervals%22">CONFIDENCE intervals</searchLink><br /><searchLink fieldCode="DE" term="%22SURGICAL+site%22">SURGICAL site</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: Good peritoneal access is essential for performing peritoneal dialysis (PD). Our PD unit uses a technique for pre-surgical marking of the peritoneal catheter. The study aimed to evaluate the influence of pre-surgical marking on complications related to post-PD catheter placement. Materials and Method: This is a cohort study. We included patients over 18 who underwent peritoneal catheter placement in 2018, corresponding to the cohort without marking, and in 2022, corresponding to the cohort with marking. The variables analysed were age, sex, complications, and solutions to complications. Using logistic regression, we calculated the Odds Ratio (OR) of complications for the labelled group and its 95% confidence interval. Results: 107 patients were analysed. The mean age was 65.6±12.2 years, and 73.8% were male. Of the 56 patients without tagging, 33 suffered complications compared to 18 in the cohort with tagging. OR 0.36 (95% CI 0.16 to 0.79). 38.9% of complications had resolution in the tagging group vs 24.2% in the non-tagging group. Conclusions: Patients with pre-surgical marking have a 64% lower risk of complications. This effect does not lose magnitude when adjusted for age and sex (OR 0.39 (95% CI 0.17-0.86). Complications in the marked cohort were resolved more frequently than in the unmarked cohort. We conclude that pre-marking the catheter reduces post-surgical complications. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: Un buen acceso peritoneal es imprescindible para la realización de la Diálisis Peritoneal, pudiendo constituir la técnica de marcaje prequirúrgico un punto clave en la aparición de complicaciones. El objetivo de nuestro estudio fue evaluar la influencia del marcaje pre-quirúrgico en las complicaciones post-colocación del catéter de diálisis peritoneal. Material y Método: Estudio de cohortes; incluimos a los pacientes mayores de 18 años a quienes se les colocó un catéter peritoneal en 2018 (cohorte sin marcaje) y en 2022 (cohorte con marcaje). Las variables analizadas fueron: edad, sexo, complicaciones y evolución de estas. Realizamos un análisis multivariante mediante regresión logística, calculando la Odds Ratio (OR) y el intervalo de con- fianza 95% de aparición de complicaciones. Resultados: Se analizaron 107 pacientes, 73,8% hombres y una edad media de 65,6 ± 12,2 años. De los 56 pacientes sin marcaje, 33 sufrieron complicaciones, frente a 18 de los 51 en la cohorte con marcaje. La OR de complicaciones ajustad por edad y sexo del grupo marcaje frente a no marcaje fue 0,39, IC 95%:0,17-0,86. El 38,9% de las complicaciones fueron resueltas en el grupo de marcaje frente al 24,2% en el grupo sin marcaje (p=0,548). Conclusiones: La técnica de marcaje previo del catéter de diálisis peritoneal se asocia a una reducción de las complicaciones postquirúrgicas en estos pacientes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.37551/S2254-28842024015
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      – SubjectFull: PERITONEAL dialysis
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      – SubjectFull: RISK assessment
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      – SubjectFull: CONFIDENCE intervals
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      – TitleFull: Influencia del marcaje previo en las complicaciones post colocación del catéter de diálisis peritoneal.
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