Theme | Revisit of Clinical Path in Renal Replacement Therapy | |
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Title | Clinical pathway for CAPD peritonitis | |
Publish Date | 2005/03 | |
Author | Misaki Moriishi | Akane Foundation Nakajima Tsuchiya Clinic / Department of Artificial Organ, Akane Foundation Tsuchiya General Hospital |
Author | Hideki Kawanishi | Department of Artificial Organ, Akane Foundation Tsuchiya General Hospital |
Author | Eriko Watanabe | Department of Nursing, Akane Foundation Tsuchiya General Hospital |
[ Summary ] | Since the introduction of peritoneal dialysis (PD) peritonitis has become an acute disease with various clinical symptoms, for which it is difficult to establish a treatment schedule. For the purpose of standardization of CAPD peritonitis treatment, to save nursing work hours and improve risk management, we developed a clinical pathway for treatment of CAPD peritonitis. In this study, we evaluated 64 patients with peritonitis for 2 years before and after the introduction of the clinical pathway (27 patients before the introduction, 37 patients after the introduction). The mean admission period for recovered cases was 14.6±7.9 days (23/27 patients, 85.2 %) before the introduction and 12.8±5.8 days (33/37 patients, 89.2 %) after the introduction. In patients who failed to demonstrate clinical improvements, the mean period between the start of peritoneal treatment and peritoneal catheter removal was reduced from 23.5±9.0 days (4/27 patients, 14.8) before the introduction to 13.8±2.6 days (4/37 patients, 10.8 %) after the introduction. The clinical pathway is useful for management of CAPD peritonitis. In the future, the clinical pathway for CAPD peritonitis will make it possible to utilize this as a tool to integrate medical treatment, by making changes in clinical courses. |