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Aim: This study aimed to explore the risk factors related to home-based operation management leading to the occurrence of peritoneal dialysis-associated peritonitis (PDAP).
Design: An observational research was conducted.
Methods: A retrospective analysis was conducted among patients with maintenance peritoneal dialysis (PD) between 1 January 2019 and 31 December 2022. The patients were grouped according to the occurrence of PDAP. General characteristics and home operational data were collected and logistic regression analysis was performed to identify independent risk factors for PDAP associated with home operations. This study complied with the Appendix S1.
Results: Of 458 PD patients included in this study, 82 were in the peritonitis group. Their average age was 53.34 ± 13.62 years, and the average dialysis vintage was 35.57 ± 32.74 months, with males accounting for 54.6%. Multivariate logistic regression analysis revealed that age; primary disease, such as diabetes mellitus; dialysis vintage; improper storage of dialysis fluid; failure to verify the quality of protective-caps with povidone-iodine; and improper handwashing were risk factors of PDAP. Daytime ambulatory PD mode was significantly negatively associated with PDAP.
Conclusion: Improper storage of dialysis fluid, failure to check the quality of protective-caps and improper handwashing at home are independent risk factors for PDAP caused by home-based operation management. Nurses should strengthen relevant training or retraining to address this.
Implications For The Profession: These findings serve to highlight the key areas for training in PD management and aim to empower patients to effectively conduct self-management practices.
Patient Or Public Contribution: We appreciate the patient's understanding and support.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340741 | PMC |
http://dx.doi.org/10.1111/jocn.17600 | DOI Listing |
Stroke
September 2025
Department of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York. (F.C.P., M.R., M.S., A.K., S.G., S.A., S.P., J.C., D.J.R.).
Background: Major ABO-incompatible platelet transfusions are associated with poor intracerebral hemorrhage (ICH) outcomes, yet drivers for this relationship remain unclear. Brain magnetic resonance imaging (MRI) ischemic lesions after ICH are neuroimaging biomarkers of secondary brain injury and are associated with poor outcomes. Given that ABO-incompatible platelet transfusions can induce immune complex formation, thrombo-inflammation, and endothelial barrier disruption, factors that could exacerbate cerebral ischemia, we explored whether major ABO-incompatible platelet transfusions are risk factors for ischemic lesions on brain MRI after ICH.
View Article and Find Full Text PDFEmerg Med Australas
October 2025
Australian Centre for Health Services Innovation, School of Public Health & Social Work, Queensland University of Technology, Brisbane, Queensland, Australia.
Reliably defining the risk of adverse in-flight events in aeromedical trauma patients could enable more informed pre-departure treatment and guide central asset allocation to achieve better system-level outcomes. Unfortunately, the current literature base specifically examining the in-flight period is sparse. Flight duration is often considered a proxy for the risk of in-flight deterioration; however, there is limited data to support this commonly held assumption.
View Article and Find Full Text PDFCirc Genom Precis Med
September 2025
Division of Cardiology, Emory University School of Medicine, Atlanta, GA. (A.K.Y., A.C.R., L.S.S., A.A.Q., Y.V.S.).
Background: Cardio-kidney-metabolic (CKM) disease represents a significant public health challenge. While proteomics-based risk scores (ProtRS) enhance cardiovascular risk prediction, their utility in improving risk prediction for a composite CKM outcome beyond traditional risk factors remains unknown.
Methods: We analyzed 23 815 UK Biobank participants without baseline CKM disease, defined by -Tenth Revision codes as cardiovascular disease (coronary artery disease, heart failure, stroke, peripheral arterial disease, atrial fibrillation/flutter), kidney disease (chronic kidney disease or end-stage renal disease), or metabolic disease (type 2 diabetes or obesity).
Med J Aust
September 2025
University of New South Wales, Sydney, NSW.
Anxiety disorders are the most prevalent mental illness in Australia and are more common in women relative to men, as well as transgender and gender diverse people relative to cisgender people. Sex and gender differences in anxiety prevalence are likely driven by a combination of factors including differential exposure to different types of stressors and trauma, gendered enculturation of different coping responses and perceived stigma of mental illness, differences in medical comorbidities, and differences in symptom presentations. The established impact of gonadal hormone changes on anxiety risk and symptom presentation across the female lifespan underscore the need for sex- and gender-responsive management of anxiety disorders.
View Article and Find Full Text PDFCirc Genom Precis Med
September 2025
Feinberg School of Medicine, Northwestern University, Chicago, IL (Z.C., P.G., A.G., G.W.).
Background: Genetic variation contributes to atrial fibrillation (AF), but its impact may vary with age. The Research Program contains whole-genome sequencing of data from 100 574 adult participants with linked electronic health records.
Methods: We assessed clinical, monogenic, and polygenic associations with AF in a cross-sectional analysis, stratified by age: <45 years (n=22 290), 45 to 60 years (n=26 805), and >60 years (n=51 659).