Establishment of a Prediction Model for Early and Mid-term Complications for Patients Undergoing Catheter Insertion for Peritoneal Dialysis

Overview

Journal J Int Med Res

Publisher Sage Publications

Specialty General Medicine

Date 2021 Apr 15

PMID 33853434

Authors

Yibo Ma

Shuiqing Liu

Min Yang

Yun Zou

Dong Xue

Yufeng Wang

Xiao Xie

Hui Chen

Yanping Liu

Affiliations

Soon will be listed here.

Abstract

Objective: To investigate the factors involved in early and mid-term complications after catheter insertion for peritoneal dialysis and to establish prediction models.

Methods: A total of 158 patients with peritoneal dialysis in the Department of Nephrology of our hospital were retrospectively analyzed. General information, laboratory indices, early complications (within 1 month after the operation), mid-term complications (1-6 months after the operation), and other relevant data were recorded. Multivariate logistic regression analysis was performed to establish a prediction model of complications and generate a nomogram. Receiver operating characteristic (ROC) curve analysis was used to evaluate the efficacy of the model.

Results: Among the patients, 48 (30.8%) had early complications, which were mainly catheter-related complications, and 29 (18.4%) had mid-term complications, which were mainly abdominal infection and catheter migration. We constructed a prediction model for early complications (area under the curve = 0.697, 95% confidence interval: 0.609-0.785) and mid-term complications (area under the curve = 0.730, 95% confidence interval: 0.622-0.839). The sensitivity was 0.750 and 0.607, and the specificity was 0.589 and 0.765, respectively.

Conclusions: Our prediction model has clinical significance for risk assessment of early and mid-term complications and prevention of complications after catheterization for peritoneal dialysis.

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