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P Finielz

Publications and source records attributed to P Finielz.

At least 19 recordsLinked to original sources
PubMed1997

[Terminal chronic renal insufficiency in the south of Réunion. Epidemiology, survival on dialysis].

In Reunion Island, as in the other French Overseas Territories, end-stage renal failure prevalence is more than twice that France as a whole. In the past 12 years, 407 patients were enrolled in the South-Island dialysis program, allowing for local epidemiologic and survival figures analysis. Non insulindependent diabetes mellitus and chronic systemic hypertension, both being silent maturity diseases with close physiopathology, are accountable for 60% of the incidence from beginning of the 90's. Female predominance among diabetic and dialysed patients could be a tropical specificity. In spite of lack of patient selection, dialysis survival seems satisfactory when compared to European Dialysis Registry. Overall survival median, starting 30 days after beginning of treatment in the South, is 6 years with a 35% 10 years survival rate. Diabetic patients have a lower survival rate at 1 (85.8%), 3 (58.4%) and 5 years (33.4%), the age-corrected relative mortality risk being 1.75. A local non insulin dependent diabetes epidemiologic survey is needed to identify predisposed populations, and prevent or delay degenerating complications, notably end-stage renal failure palliative treatment whose high-cost palliative treatment is further increased by ultraperipheral geographical location.

Adolescent↗
PubMed1994

[Temporary vascular access in Reunion].

The high proportion of diabetic patients is partly responsible for the high frequency of chronic renal failure in Reunion. The confection and maintenance of an arterio-venous fistule is a major problem in those patients. We report herein our experience with temporary vascular access by internal jugular vein catherization with subcutaneous tunnelization using silastic catheters. The mean duration of utilisation of these accesses is 107 days for diabetic patients and 98 days for nondiabetic patients. The major complication observed is sepsis (18.36%). Diabetes mellitus which represent a traditional risk factor does not seem to be responsible here, the climatic and hygienic conditions prevailing in this part of the world could be a contributing factor. Nevertheless, we find the utilisation of these catheters a suitable solution during the waiting period because it is an easy operation, of the good quality of the material used and the comfort brought to the patient.

Catheterization, Central Venous↗