Hemorrhagic Stroke in Chronic Dialysis Patients

Pai, Mei‐Fen; Hsu, Shih‐Ping; Peng, Yu‐Sen; Hung, Kuan‐Yu; Tsai, Tun‐Jun

doi:10.1081/jdi-120038504

Cited by 10 publications

(12 citation statements)

References 25 publications

(22 reference statements)

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“…The prognosis of ICH in chronic dialysis patients is especially poor. The 30-day mortality rate has been reported to be as high as 67.3% (range 43.8–67.3%) [7,8,10,11,16,17,18]. The total 30-day mortality rate of our patients was 27.9%.…”

Section: Discussionmentioning

confidence: 69%

“…In this study, we showed that the mortality rates were not significantly different for the EHD and CPD patients. In addition, our patients had a relatively lower mortality rate (total mortality 27.9%) than other series (mean mortality 62.1%, range 43.8–67.3%) [7,8,10,11,16,17,18]. The mean outcome score was 3 in the CPD and 2 in the EHD groups, respectively.…”

Section: Discussionmentioning

confidence: 79%

“…On the other hand, a similar comparative study reported a asignificantly worse prognosis for continuous dialysis [11]. However, these results may be inconclusive because the patient numbers were small and the severity of ICH was not factored into the analyses (such as initial GCS, blood pressure, and hematoma volume).…”

Section: Discussionmentioning

confidence: 91%

“…Although there is a preference for slow continuous dialysis, the optimal mode of dialysis after ICH remains controversial. However, there is little clinical evidence upon which to evaluate this hypothesis [9,10,11]. Yorioka et al [10] has reported patients having peritoneal dialysis (PD) after ICH had a better prognosis than those undergoing intermittent HD.…”

Section: Introductionmentioning

confidence: 99%

“…Yorioka et al [10] has reported patients having peritoneal dialysis (PD) after ICH had a better prognosis than those undergoing intermittent HD. But Pai et al [11] did not find any advantage in the prognosis of patients with ICH and undergoing PD. In our institution, we tried to provide a stable hemodynamic state by using continuous PD (CPD) or extended HD (EHD) with a modified protocol (low dialysate flow, low blood flow and heparin-free with intermittent saline flush) for ESRD patients with acute ICH.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Comparative Outcomes between Hemo- and Peritoneal Dialysis Patients with Acute Intracerebral Hemorrhage

Hsieh

Chen

et al. 2010

Am J Nephrol

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Background/Aims: The optimal mode of dialysis for end-stage renal disease (ESRD) patients with spontaneous intracerebral hemorrhage (ICH) remains controversial. We compared the outcomes of ESRD patients who received continuous peritoneal dialysis (CPD) or extended hemodialysis (EHD) after ICH, and investigated the factors determining prognosis.Methods: We incorporated our ICH patients with ESRD, requiring dialysis from January 2005 to December 2009. Patients were allocated to the CPD or EHD group according to the dialysis mode after ICH. We compared the 30-day mortality rate and modified Rankin Scale (mRS) of the two groups and analyzed the factors associated with mortality. Results: There were 40 patients with 16 episodes in CPD and 27 episodes in EHD group, without significant differences in baseline demographic data. The 30-day mortality rate and mRS were not different between the two groups. The patients who died within 30 days had higher ICH scores (4 ± 1 vs. 1 ± 1, p < 0.001) and outcome scores (5 ± 2 vs. 1 ± 1, p < 0.001). Dialysis-related complications occurred more frequently in the PD group (p = 0.07), but were unrelated to mortality. Conclusion: Among ESRD patients with ICH, EHD had a similar 30-day mortality rate and 30-day mRS to those receiving CPD. The mortality was significantly related to the severity of ICH.

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