Dedicated outpatient vascular access center decreases hospitalization and missed outpatient dialysis treatments
| Autor: | Norma J. Ofsthun, J.J. Sands, D. Schon, J.M. Lazarus, Ming Teng, R. Mishler |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Nephrology Catheterization Central Venous medicine.medical_specialty Percutaneous medicine.medical_treatment Arteriovenous fistula vascular access center Arteriovenous Shunt Surgical Catheters Indwelling Renal Dialysis dialysis access Angioplasty Internal medicine Ambulatory Care medicine Humans arteriovenous fistula Dialysis Aged hemodialysis interventional nephrology Vascular disease business.industry Middle Aged medicine.disease Surgery Hospitalization polytetrafluoroethylene graft Emergency medicine Ambulatory Female Hemodialysis business |
| Zdroj: | Kidney International. 69:393-398 |
| ISSN: | 0085-2538 |
| DOI: | 10.1038/sj.ki.5000066 |
| Popis: | Dedicated outpatient vascular access centers (VAC) specializing in percutaneous interventions (angiography, thrombectomy, angioplasty and catheter placement) provide outpatient therapy that can obviate the need for hospitalization. This paper reports the impact of one VAC staffed by interventional nephrologists on vascular access-related hospitalization and missed outpatient dialysis treatments. We performed a retrospective analysis of vascular access-related hospitalized days and missed vascular access-related outpatient dialysis treatments from 1995 to 2002 in 21 Phoenix Arizona Facilities (5928 cumulative patients) and 1275 cumulative Fresenius Medical Care North America (FMCNA) facilities (289 454 cumulative patients) to evaluate the impact of the introduction of a VAC in Phoenix. Vascular access-related hospitalized days/patient year and missed dialysis treatments/patient year declined from 1997 to 2002 across all access types. The decline was greater in Phoenix and coincided with the creation of a VAC in 1998. By 2002, there were 0.57 fewer hospitalized days/patient year and 0.29 fewer missed treatments/patient year than in the national sample (P |
| Databáze: | OpenAIRE |
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