Effects Of Different Urgent-start Dialysis Methods On Short-term Complications And Long-term Prognosis In ESRD Patients

ObjectiveTo compare directly the short-term complications and long-term prognosis of Urgent-start peritoneal dialysis（USPD）and Urgent-start hemodialysis（USHD）started within 24 hours in end-stage renal disease（ESRD）patients,and to explore the safety and effectiveness of USPD as an emergency initiation dialysis method for ESRD patients within 24 hours.MethodsThis is a retrospective study.All adult ESRD patients who underwent emergency initial dialysis in the second Hospital of Jilin University from January 1,2014 to December 31,2020,and all patients were followed up to March 31,2021.According to the different modes of emergency initiation dialysis,the patients were divided into USPD group and USHD group.The age,sex,primary diseases,complications and laboratory indexes before dialysis were collected,and the dialysis-related complications within 1 month and the outcome of the patients at the end of follow-up were recorded.Multivariate Logistics regression model was used to explore the effect of emergency initiation of dialysis on dialysis-related complications.Kaplan-Meier survival function and multivariate COX regression model were used to compare the effect of emergency initiation of dialysis on the long-term prognosis of patients.Results1.152 patients were included in USPD group（68.4%）,the mean age of the patients was 50.6± 12.6 years.175 patients were included in USPD group（65.3%）,the mean age of the patients was 56.5± 14.6 years.Compared with USHD group,patients in USPD group were younger