Erschienen in:
01.05.2005 | Brief report
Icodextrin re-absorption varies with age in children on automated peritoneal dialysis
verfasst von:
Allison Dart, Janusz Feber, Hubert Wong, Guido Filler
Erschienen in:
Pediatric Nephrology
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Ausgabe 5/2005
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Abstract
Information on the use of Icodextrin in children remains scarce; however, it is believed that the characteristics are similar across all ages. We report the use of Icodextrin in a cohort of pediatric automated peritoneal dialysis (APD) patients younger than those previously reported (n =8, median age of 2.8, range 0.02–17.1 years). Net Icodextrin daytime dwell ultrafiltration was calculated in each patient for every day on therapy as ml/h/m2. Half of the patients showed re-absorption even when reducing Icodextrin dwells from a median of 10 to 6 h. All four patients who re-absorbed the Icodextrin (ranging from −23.7±7.5 to −2.5±6.0 ml/h/m2) were treated with cyclic nocturnal APD, and three of these four patients were high transporters on the peritoneal equilibration test (PET). Icodextrin fluid removal correlated significantly with age (Spearman rank r =0.8571, P =0.0107). The data suggest that Icodextrin behaves differently in young children.