ANALYSIS OF THE ROLE OF PERITONEUM CHARACTERISTICS AND GLUCOSE CONCENTRATION IN DRAIN VOLUME IN CAPD PATIENTS IN CCI CIKINI HOSPITAL, JAKARTA

Abstract

Fluid output in patients undergoing CAPD is influenced by glucose inCAPD fluid which acts as an osmotic agent. On the other hand the characteristics of the peritoneum indirectly affect ultrafiltration through the rapid or slow diffusion of glucose from the dialysate into the plasma, thus affecting the difference in osmotic pressure. This study aims to analyze the role of glucose concentration and peritoneal characteristics of fluid output in patients undergoing CAPD. The study used Retrospective cross-sectional approach with consecutive data collection methods sampling . All data are sourced from medical records and patient CAPD diaries from 2005 to 2010. Peritoneal characteristics are determined based on PET examinations conducted at PGI Cikini Hospital. Measurement of fluid output was carried out for 7 days based on the patient's CAPD diary, for a period of 1 day to 6 months after PET examination. The results of the study show different mean output of fluid in the dialysate with different glucose concentrations and different peritoneal characteristics. T test results showed differences between the average output of dialysate with a glucose concentration of 1.5% and 2.5% on the day and night (p <0.05) ANOVA test results showed differences between the mean output between the high transporter with high average transporter and low average transporter, high average transporters with high transporters , low average transporters with high transporters ( p <0.05) It can be concluded that glucose concentrations and peritoneal characteristics are equally responsible for fluid output in patients undergoing CAPD , but the dominant role cannot be concluded.