Ana Elizabeth Figueiredo|T. P. de Moraes|Judith Bernardini|Carlos E. Poli-de-Figueiredo|Pasqual Barretti|Márcia Olandoski|R. Pecoits?Filho
Impact of patient training patterns on peritonitis rates in a large national cohort study
Pontifícia Universidade Católica do Rio Grande do Sul|Pontifícia Universidade Católica do Paraná|Pittsburg State University|Pontifícia Universidade Católica do Rio Grande do Sul|Universidade Estadual Paulista (Unesp)|Pontifícia Universidade Católica do Paraná|Pontifícia Universidade Católica do Paraná
ideal training methods could ensure best peritoneal dialysis pd outcome defined previous reports aim present study evaluate impact training characteristics peritonitis rates large brazilian cohortincident patients valid data training recruited brazilian peritoneal dialysis multicenter study brazpd ii january 2008 january 2011 included peritonitis diagnosed according international society peritoneal dialysis guidelines incidence rate peritonitis episodespatientmonths time first peritonitis used end pointstwo thousand two hundred fortythree adult patients included analysis 59 16 years old 518 female 647 4 years education median training time 15 h iqi 1020 h patients followed median 112 months range 3365 overall peritonitis rate 029 per year risk 1 episode41 patientmonths mean number hours training per day 18 24 less 1 h trainingday associated higher incidence rate compared intervals 12 hday p 003 2 hday p 002 patients received cumulative training 15 h significantly lower incidence peritonitis compared 15 h 026 per year risk versus 032 per year risk p 001 presence caregiver number people trained significantly associated peritonitis incidence rate training immediate 10 days implantation catheter associated highest peritonitis rate 032 per year compared training prior catheter implantation 028 per year 10 days implantation 023 per year experienced centers lower risk first peritonitis p 0003this first study analyze association training characteristics outcomes large cohort pd patients low training time particularly 15 h smaller center size timing training relation catheter implantation associated higher incidence peritonitis results support recommendation minimum amount training hours reduce peritonitis incidence regardless number hours trained per day