Course and outcome of dialysis pericarditis in diabetic patients treated with maintenance hemodialysis.

Abstract

INTRODUCTION:

This observational study investigated the course and outcome of dialysis pericarditis in diabetic dialysis patients, as previous reports found that in contrast to uremic pericarditis, which responds in most cases to intensive hemodialysis, dialysis pericarditis resolves with intensification of hemodialysis in fewer cases.

METHODS:

From 2002 through 2006, 88 maintenance hemodialysis patients (47 diabetic and 41 non-diabetic) were referred for management of dialysis pericarditis.

RESULTS:

Dialysis pericarditis in 85.1% of diabetic and 82.9% of non-diabetic patients improved following institution of intensive hemodialysis. For the few unresponsive and critical cases, 8.5% of diabetic and 7.3% of non-diabetic patients received pericardiocentesis, whereas 6.4% of diabetic and 9.8% of non-diabetic patients received surgical drainage. In terms of outcome, 85.1, 4.3 and 10.6% of diabetic patients were alive without recurrence, alive with recurrence and deceased, respectively. There was no significant difference with their non-diabetic counterparts, for which the percentages were 87.8, 4.9 and 7.3%, respectively (p > 0.05). Kaplan-Meier analysis did not find any significant difference in survival as well (p > 0.05).

CONCLUSION:

Whether used in diabetics or not, intensive hemodialysis remains the primary and most effective dialysis pericarditis treatment, whereas pericardiocentesis or surgical drainage should be reserved for the few unresponsive and critical cases.

• Authors: Jing-Ren Tseng, Ming-Jse Lee, Kung-Chi Yen, Cheng-Hao Weng, Chih-Chia Liang, I-Kuan Wang, Chiz-Tzung Chang, Dan-Tzu Lin-Tan, Ja-Liang Lin, Tzung-Hai Yen
• Journal: Kidney & blood pressure research (Kidney Blood Press Res) Vol. 32 Issue 1 Pg. 17-23 ( 2009) ISSN: 1423-0143 [Electronic] Switzerland
• PMID: 19212121 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright 2009 S. Karger AG, Basel.

Topics

• Aged
• Diabetes Complications
• Diabetes Mellitus (therapy)
• Disease Progression
• Female
• Humans
• Male
• Middle Aged
• Pericarditis (etiology)
• Recurrence
• Renal Dialysis (adverse effects)
• Survival Rate
• Treatment Outcome