دورية أكاديمية
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.
| العنوان: | 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. |
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| المؤلفون: | Kashgary, Abdullah, Almuhyawi, Razan A., Alhijri, Reem R., Ba Durayq, Aseel M., Alnagrani, Wed B., Alharbi, Arwa J., Al Khalaf, Hamidah M., Obaid, Haya S., Fadel, Ahmed Zaky, Abdelsalam, Mostafa |
| المصدر: | International Journal of Nephrology; 3/27/2023, p1-6, 6p |
| مصطلحات موضوعية: | TREATMENT of chronic kidney failure, MEDICAL device removal, HOSPITAL patients, ACADEMIC medical centers, CATHETER-related infections, DIALYSIS catheters, RETROSPECTIVE studies, ACQUISITION of data, TREATMENT effectiveness, SEPSIS, ROOMS, MEDICAL records, HEMODIALYSIS, CATHETERIZATION, LONGITUDINAL method, EVALUATION |
| مصطلحات جغرافية: | SAUDI Arabia |
| مستخلص: | 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. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: | Complementary Index |
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