Efficacy and Safety of Bedside Removal of Tunnelled Hemodialysis Catheter by Noninterventional Nephrologists among Adult Patients in the King Abdulaziz University Hospital Hemodialysis Centre in Jeddah: A Retrospective Cohort Study.

Autor: Kashgary A; Department of Medicine, Faculty of Medicine, King Abdulaziz University, King Abdulaziz University Hospital, Jeddah, Saudi Arabia., Almuhyawi RA; Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Alhijri RR; Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Ba Durayq AM; Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Alnagrani WB; Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Alharbi AJ; Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Al Khalaf HM; Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Obaid HS; Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Fadel AZ; Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Abdelsalam M; Mansoura Nephrology and Dialysis Unit, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Jazyk: angličtina
Zdroj: International journal of nephrology [Int J Nephrol] 2023 Mar 27; Vol. 2023, pp. 6905528. Date of Electronic Publication: 2023 Mar 27 (Print Publication: 2023).
DOI: 10.1155/2023/6905528
Abstrakt: This study aimed to assess the efficacy and safety of bedside removal of tunnelled hemodialysis catheter (TDC) by noninterventional nephrologists among adult patients. It is a retrospective study that involved 53 patients from March 2020 to February 2022 at the King Abdulaziz University Hospital (KAUH) Hemodialysis Centre in Jeddah, Saudi Arabia. Of the 53 participants, 60.4% were male and 40.6% female, and their mean age was 50.94 ± 18.89 years. The most common comorbidities were hypertension (HTN) in 47 (88.7%), diabetes mellitus (DM) in 24 (45.3%), and DM and HTN together in 23 (43.4%) patients. The most common site of TDC removal was the right internal jugular vein (77.4%). In 84.9% of the cases, the TDC was removed as an inpatient procedure, and in the majority of the cases (64.2%), the TDC was removed by a noninterventional nephrologist. The most common reasons for TDC removal were sepsis or clinical concerns for infection (64.2%) and TDC not needed (20.8%) due to recovery of the renal function or access maturation. Most patients (96.2%) suffered no complications; only one of 34 (%) patients with catheter removal by a noninterventional nephrologist had bleeding, which required more observation and monitoring before discharge on the same day. Our study revealed that the bedside TDC removal was well tolerated with a minimal complication rate.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2023 Abdullah Kashgary et al.)
Databáze: MEDLINE
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