MO667: Creating a New Cardiorenal Unit: 3-Year Study Results

Abstract BACKGROUND AND AIMS Cardiorenal syndrome is a clinical manifestation of the bidirectional interaction between the heart and kidney diseases, so creating specific units between cardiologists and nephrologists is necessary for better treatment of these patients. In our hospital we have recently formed a workgroup for better organization of patients who need peritoneal dialysis (PD) and day-hospital assistant. The aim of this study is to analyse the evolution of the patients in our PD program since the creation of a new cardiorenal unit in our center. METHOD This study includes patients beginning PD due to cardiorenal syndrome since the creation of our cardiorenal unit, between 15 June 2018 and 14 June 2021. We have registered the date of PD initiation and also the date of exclusion of the technique. Also we performed a pre–post observational study comparing the number of hospitalizations/emergency visits in the year before PD starts and its evolution for the next year. Statistical study was analysed with SPSS software, for a P-value <0.05. RESULTS Twelve patients (9 men and 3 women) have been included in this study. The mean age was 66.50 years (range 50–82). PD survival was 34.43 months (range 7–70). The number of hospitalizations/emergency visits was 8.04 in the year before PD started, and 0.44 the next year (P < 0.05). Nine of 12 patients had zero hospitalizations in the 12 months after initiating PD. CONCLUSION PD is an interesting treatment option for patients with cardiorenal diseases, which allows a significant reduction in hospitalization and decompensation rates. Creating new cardiorenal units is a good option for the integral management of these patients.