Enfermeria Nefrologica
Volume 21, Issue 3, 2018, Pages 269-274

Does the immigrant patient is a good candidate for peritoneal dialysis? [¿es el paciente inmigrante un buen candidato para diálisis peritoneal?] (Article)

Charlez I.T.* , Roigé M.A. , Nuño A.Ú. , Labadía E.F. , Nivela M.D.C. , Villas C.S. , Sans M.B.
  • a Hospital Universitario Arnau de Vilanova, Lleida, Spain
  • b Hospital Universitario Arnau de Vilanova, Lleida, Spain
  • c Hospital Universitario Arnau de Vilanova, Lleida, Spain
  • d Hospital Universitario Arnau de Vilanova, Lleida, Spain
  • e Hospital Universitario Arnau de Vilanova, Lleida, Spain
  • f Hospital Universitario Arnau de Vilanova, Lleida, Spain
  • g Hospital Universitario Arnau de Vilanova, Lleida, Spain

Abstract

Introduction: The immigrant patient sometimes presents barriers that cause doubts about their inclusion in peritoneal dialysis. Objective: To analyse if being an immigrant influences the results of peritoneal dialysis. Material and Method: 143 incident patients in peritoneal dialysis (years 2010-17). Demographic, clinical and prognostic data (poor outcome definition in peritoneal dialysis: peritonitis greater than half of the unit, transfer to haemodialysis in the first 6 months and mortality related to the technique). Results: Comparing immigrant and non-immigrant patients, differences were observed: age (42.4 vs 62.3 years, p<0.001), number of training sessions (7.5 vs 9.27, p=0.037), sex (61.1 vs. 25.2% women, p=0.002), economic level (44.4 vs. 13.7%, p=0.005), education (16.7 vs. 1.6%, p=0.004), employment situation (5.6 vs 61.3%, p<0.001) and degree of autonomy (38.9 vs 13.7% practically normal activity, p=0.031). No differences with respect to the prognostic data. A 25.3% of patients present a poor result in peritoneal dialysis and the remaining patients a good result. Only significant differences between both groups were found in the number of training sessions (10 sessions vs 8.7 sessions, p=0.048). The only factor that tends to be associated independently (multivariate analysis) to a poor result in peritoneal dialysis is the degree of functionality of the patient. No associations were found with being an immigrant patient or with other variables. Conclusions: Immigrant patients, in spite of the different sociodemographic conditions, have a similar outcome to non-immigrant patients in peritoneal dialysis. © 2018, Sociedad Espanola de Enfermeria Nefrologica. All rights reserved.

Author Keywords

Emigration and immigration Prognosis Physical fitness Peritoneal dialysis

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85067397763&doi=10.4321%2fS2254-28842018000300009&partnerID=40&md5=12f678694095821b8902cf02f3163c9f
DOI: 10.4321/S2254-28842018000300009
ISSN: 22542884
Original Language: Spanish