Vascular access complications and risk factors in

Autor: Tarek A. Ghonemy, Salama E. Farag, Sameh A. Soliman, Essam M. Amin, Amal A. Zidan
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Alexandria Journal of Medicine, Vol 52, Iss 1, Pp 67-71 (2016)
Druh dokumentu: article
ISSN: 2090-5068
DOI: 10.1016/j.ajme.2015.04.002
Popis: Background: Morbidity related to vascular access is the leading cause of hospitalization for chronic hemodialysis patients and is associated with high cost. Since data on vascular access complications are scarce, this study was designed to focus on vascular access complications in hemodialysis patients. Methods: 119 patients with End Stage Renal Disease (ESRD) on regular hemodialysis were recruited for the study, They were subjected to the following Laboratory blood tests: Kidney function tests, CBC, KT/V, serum albumin, fasting blood sugar, swab culture and sensitivity from the skin over the vascular access and blood culture and sensitivity from both central and peripheral samples, In addition, radiological Doppler ultrasound was done for all patients to evaluate the vascular access. Results: 27 out of 119 patients (22%) have positive blood culture, 64 (53.7%) patients have positive swab culture, 68 (57%) patients have stenosis, 25 patients (21%) have athermanous plaques and 44 (36.9%) patients have aneurysmal dilatation. There was a significant low Kt/V in patients with stenosis and aneurysmal dilatation (p
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