{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T15:32:58Z","timestamp":1790091178321,"version":"4.0.1"},"reference-count":37,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,5,25]],"date-time":"2025-05-25T00:00:00Z","timestamp":1748131200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perit Dial Int"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Peritoneal dialysis (PD) offers comparable survival for acute kidney injury (AKI) as other kidney replacement therapies, but concerns about rigid catheter complications like peritonitis persist. This study evaluated outcomes of acute PD using rigid catheters in critically ill children, including peritonitis rates and mechanical complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study analyzed data from consecutive pediatric patients (aged &lt;18 years) admitted to our tertiary-level pediatric intensive care unit, who underwent acute PD using either rigid or improvised catheters, with each PD session limited to 72\u2005h followed by re-insertion after 24\u2005h if indicated. Data on primary diagnosis, PD indication, and laboratory parameters were collected from patient records and dialysis registers. Outcome measures, such as peritonitis rates and mechanical complications, were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Over a 10-year span (January 2014\u2013September 2023), 202 children, 57% males, with a median age of 11 (3.6, 30) months, underwent PD. PD was initiated for fluid overload in 65 (32%), persistent anuria in 51 (25.2%), and refractory hyperkalemia in 47 (23.3%). In 13 (6.4%) patients, PD was initiated for metabolic crisis in the absence of AKI. The median estimated glomerular filtration rate at PD initiation was 21.4 (13.2, 46.5) mL\/1.73m\n                      <jats:sup>2<\/jats:sup>\n                      \/min. A total of 250 PD sessions\/catheter insertions were performed on 202 children, for a median duration of 72 (24, 72) hours. Fourteen (6.9%) children developed peritonitis. Among children who received PD for \u2264 72\u2005h (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009164), peritonitis frequency was 3%, while it was 15.7% in those with one catheter re-insertion (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200919) and 31.5% in &gt;1 catheter reinsertion (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200919). The peritonitis rate-per-catheter was 3% in children with single catheter insertion (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009164), and 10.4% in children with\u2009\u2265\u20091 catheter re-insertions (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200938). Among six children, who had extended PD sessions (single PD session duration, irrespective of it being the first or subsequent catheter) of 84 [84,100] (median [IQR]) hours, 3 (50%) developed peritonitis. Mechanical complications included peritubal-leak 28 (13.8%), hemorrhagic effluent in 8 (3%), catheter dislodgement in 3 (1.5%), and PD catheter block in 13 (6.4%). One child (0.49%) developed intestinal perforation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Acute PD with a rigid catheter limited to 72\u2005h appears safe and feasible in resource-constrained settings where soft Tenckhoff PD catheters are not easily available, though peritonitis rates increase with increasing cumulative duration on PD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08968608251344078","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T02:35:22Z","timestamp":1748226922000},"page":"95-104","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Outcomes of acute peritoneal dialysis using rigid catheters in the critically ill pediatric population"],"prefix":"10.1177","volume":"46","author":[{"given":"Raajashri","family":"Rajasegar","sequence":"first","affiliation":[{"name":"Jawaharlal Institute of Postgraduate Medical Education"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhileti","family":"Sravani","sequence":"additional","affiliation":[{"name":"Jawaharlal Institute of Postgraduate Medical Education"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0071-2134","authenticated-orcid":false,"given":"Bobbity","family":"Deepthi","sequence":"additional","affiliation":[{"name":"Jawaharlal Institute of Postgraduate Medical Education"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narayanan","family":"Parameswaran","sequence":"additional","affiliation":[{"name":"Jawaharlal Institute of Postgraduate Medical Education"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudarsan","family":"Krishnasamy","sequence":"additional","affiliation":[{"name":"Jawaharlal Institute of Postgraduate Medical Education"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sivamurukan","family":"Palanisamy","sequence":"additional","affiliation":[{"name":"Jawaharlal Institute of Postgraduate Medical Education"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sriram","family":"Krishnamurthy","sequence":"additional","affiliation":[{"name":"Jawaharlal Institute of Postgraduate Medical Education"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/0972-5229.118412"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mjafi.2019.02.003"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0178233"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-016-3482-6"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0896860819887292"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0896860820982120"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2013.00082"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfac201"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/08968608221080586"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1159\/000339789"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-1904"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.4061\/2011\/739794"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199605000-00004"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001191"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2013.349"},{"key":"e_1_3_2_17_2","first-page":"276","article-title":"Peritoneal dialysis with rigid catheters in children with acute kidney injury: a single-centre experience","volume":"13","author":"Garg M","year":"2022","unstructured":"Garg M, Lalitha AV , Vasudevan A. Peritoneal dialysis with rigid catheters in children with acute kidney injury: a single-centre experience. J Pediatr Intensive Care 2022; 13: 276\u2013281.","journal-title":"J Pediatr Intensive Care"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.0000000000000059"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2012.00118"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2011.00275"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/20469047.2021.1874201"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001431"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.36347\/sjams.2020.v08i04.003"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0896860820975897"},{"key":"e_1_3_2_25_2","first-page":"153","article-title":"Impact of dialysis type on outcome of acute renal failure in children: a single-center experience","volume":"13","author":"Krause I","year":"2011","unstructured":"Krause I, Herman N, Cleper R, et al. Impact of dialysis type on outcome of acute renal failure in children: a single-center experience. Isr Med Assoc J 2011; 13: 153\u2013156.","journal-title":"Isr Med Assoc J"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1159\/000502079"},{"key":"e_1_3_2_27_2","first-page":"60","article-title":"Complications of acute peritoneal dialysis in children with acute kidney failure","volume":"50","author":"Moorani KN","year":"2011","unstructured":"Moorani KN, Parkash J. Complications of acute peritoneal dialysis in children with acute kidney failure. Pak J Med Res 2011; 50: 60\u201364.","journal-title":"Pak J Med Res"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-024-06399-1"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1159\/000368938"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2017.00284"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/0896860819887286"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.63.7.827"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5002616"},{"key":"e_1_3_2_34_2","article-title":"Urgent-start peritoneal dialysis versus haemodialysis for people with chronic kidney disease","volume":"1","author":"Htay H","year":"2021","unstructured":"Htay H, Johnson DW, Craig JC, et al. Urgent-start peritoneal dialysis versus haemodialysis for people with chronic kidney disease. Cochrane Database Syst Rev 2021; 1: CD012899.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.3109\/08860229709026271"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.4314\/ahs.v20i1.37"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.4103\/0972-5229.186218"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1159\/000356627"}],"container-title":["Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08968608251344078","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08968608251344078","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08968608251344078","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:38:22Z","timestamp":1777675102000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08968608251344078"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,25]]},"references-count":37,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/08968608251344078"],"URL":"https:\/\/doi.org\/10.1177\/08968608251344078","relation":{},"ISSN":["0896-8608","1718-4304"],"issn-type":[{"value":"0896-8608","type":"print"},{"value":"1718-4304","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,25]]}}}