DOI: https://doi.org/10.36347/sjams.2024.v12i09.021

Pages: 1238-1246

Background: Chronic kidney disease (CKD) is a major public health problem globally. The prevalence of chronic kidney disease is increasing day by day in low to middle income countries (LMICs). People living in LMICs have the highest need for renal replacement therapy (RRT) despite they have lowest access to various modalities of treatment. As continuous ambulatory peritoneal dialysis (CAPD) does not require advanced technologies, very much infrastructure, dialysis staff support, it should be an ideal form of RRT in LMICs, particularly for those living in remote areas. This study was aimed to report the characteristics and outcomes of CAPD in end stage renal disease (ESRD) patients lived in a remote area of Bangladesh. Methods: This prospective study was conducted in Cox’s bazar Medical College Hospital, Cox’s bazar Bangladesh. Data were collected by questionnaire from the patients of any age with end-stage renal disease (ESRD) who underwent CAPD between 2018–2021. A total of 31 ESRD patients who underwent CAPD were enrolled. The baseline characteristics, CAPD-related complications, annual expenditure as well as patient survival rates were analyzed accordingly. Results: Out of 31 patients who underwent CAPD, 18 (58.1%) were male and 13 (41.9%) were female, the age ranged between 15–79 years. The poor cardiac function and patient’s residence in remote area were the most important issue in selection of CAPD as RRT. Maximum patients (67.7%) took 2 dwell/day. Abdominal pain was the major (74.2%) complication. The peritonitis rate was 0.48 episodes per patient per year. The 1, 3 and 4-years patient survival rates were 64.5%, 22.6% and 12.9% respectively. The mortality rate was 41.9% and the main cause of death was congestive cardiac failure. Conclusions: In this study, CAPD performance was poorer than usual reference. Cardiac compromised patient and inappropriate dwell might be the main contributing factors behind this scenario. The peritonitis rate was nearly ...........