Replacement tunnelled dialysis catheters for haemodialysis access: Same site, new site, or exchange - a multivariate analysis and risk score

Clinical Radiology
C R TappingG J Robinson

Abstract

To identify variables related to complications following tunnelled dialysis catheter (TDC) replacement and stratifying the risk to reduce morbidity in patients with end-stage renal disease. One hundred and forty TDCs (Split Cath, medCOMP) were replaced in 140 patients over a 5 year period. Multiple variables were retrospectively collected and analysed to stratify the risk and to predict patients who were more likely to suffer from complications. Multivariate regression analysis was used to identify variables predictive of complications. There were six immediate complications, 42 early complications, and 37 late complications. Multivariate analysis revealed that variables significantly associated to complications were: female sex (p = 0.003; OR 2.9); previous TDC in the same anatomical position in the past (p = 0.014; OR 4.1); catheter exchange (p = 0.038; OR 3.8); haemoglobin <11 g/dl (p = 0.033; OR 3.6); albumin <30 g/l (p = 0.007; OR 4.4); prothrombin time >15 s (p = 0.002; OR 4.1); and C-reactive protein >50 mg/l (p = 0.007; OR 4.6). A high-risk score, which used the values from the multivariate analysis, predicted 100% of the immediate complications, 95% of the early complications, and 68% of the late complications. Patient...Continue Reading

References

May 1, 1992·Critical Care Medicine·L PasseriniE G King
May 1, 1993·Kidney International·H I FeldmanJ A Berlin
Feb 1, 1996·Radiology·G B LundF A Osterman
Jun 1, 2000·Radiology·S O Trerotola
Mar 1, 2007·Journal of Vascular and Interventional Radiology : JVIR·Ahmad I Alomari, Abigail Falk
May 31, 2008·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Jean EthierRonald L Pisoni
Apr 26, 2011·Journal of Vascular and Interventional Radiology : JVIR·David M GuttmannS William Stavropoulos

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Journal of Vascular and Interventional Radiology : JVIR
Oneil LeeMichael A Bettmann
Journal of Vascular and Interventional Radiology : JVIR
Erez SalikMichael G Tal
Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Phillip J YatesMichael L Nicholson
© 2021 Meta ULC. All rights reserved