1. Prevalence and correlates of central venous catheter use among haemodialysis patients in the Irish health system - a national study
- Author
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Wael F. Hussein, Husham Mohammed, Leonard Browne, Liam Plant, and Austin G. Stack
- Subjects
Haemodialysis ,Access ,Arteriovenous fistula ,Central venous catheter ,Tunnelled dialysis catheter ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Abstract Background Central venous catheters (CVC) are associated with substantial morbidity and mortality among patients undergoing haemodialysis (HD), yet they are frequently used as the primary vascular access for many patients on HD. The goal of this study was to determine the prevalence and variation in CVC use across centres in the Irish health system. Methods Data from the National Kidney Disease Clinical Patient Management System (KDCPMS) was used to determine CVC use and patterns across centres. Data on demographic characteristics, primary cause of end-stage kidney disease (ESKD), comorbid conditions, laboratory values and centre affiliation were extracted for adult HD patients (n = 1, 196) who were on dialysis for at least three months up to end of December 2016. Correlates of CVC use were explored using multivariable logistic regression. Results Overall prevalence of CVC use was 54% and varied significantly across clinical sites from 43% to 73%, P
- Published
- 2018
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