Planning vascular access in peritoneal dialysis – defining high risk patients

2017 ◽  
Author(s):  
Hugo Ferreira
Keyword(s):  
Peritoneal Dialysis ◽  
High Risk ◽  
Vascular Access ◽  
High Risk Patients ◽  
Risk Patients

P1563THE ANALYSIS OF RISK FACTORS FOR THE PATIENTS EXPERIENCED VENOUS NEEDLE DISLODGEMENT OR BLEEDING DURING DIALYSIS

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Hsiu Wen Wu ◽  
HsuanMing Lin ◽  
KuanYu Chen ◽  
YuChih Lin ◽  
HsiangWei Hu
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Training Program ◽  
Vascular Access ◽  
Transluminal Angioplasty ◽  
Dialysis Access ◽  
Site Assessment ◽  
Home Dialysis ◽  
High Risk Patients ◽  
Risk Patients

Abstract Background and Aims A puncture of vascular access is commonly used in clinical treatment, such as hemodialysis or central venous catheters. At this time, leakage or infection associated with Venous needle dislodgement(VND) is a high risk of fatality, especially for patients with restlessness, impaired cognition, isolation, or home dialysis. At present, a few studies believe that many risk factors are associated with venous needle dislodgment and bleeding, including difficult needle fixation, restlessness, unconsciousness, or abnormal movement. However, only a few studies are focusing on patient disease, medication, and other risk assessments. Therefore, this study aims to explore the risk factors of patients with venous needle dislodgment and bleeding and hope to establish the risk classification. Method This study was a prospective study conducted in the hemodialysis room of Tainan Regional Hospital. Before starting to collect the venous needle dislodgment and bleeding data, we performed a training program for medical and nursing staff, including venous puncture, fixation, puncture site assessment, and management. During the three months from July 2019 to 2019/9, we collected clinical data were collected, including patient sex, gender, diseases, records of dialysis access blockage, anticoagulant dose, and a high-risk assessment record (eight risk factors). Finally, we analyzed the data and compared the data between the two groups of patients who experienced needle dislodgement and bleeding. We applied statistical software STATA, chi_square, z-test. P<0.05 was defined as significant. Results Seventy patients were included in this study, with an average age of 63.23 (± 1.2 years) and 45 males (64.28%). In 2019 / 7-9, there were a total of 32 patients with 72 venous needle dislodgment and bleeding. The patients with the condition as below were considered high-risk patients. In terms of gender, whether it is a high risk, diabetes, high blood pressure, whether to use sleeping pills, diabetic hypotension, whether to use warfarin or to use anticoagulant doses are all not statistically significant. The proportion of patients with vascular-access and undergoing percutaneous transluminal angioplasty was 35.2% (11) in high-risk patients and 10.3% (4) in low-risk patients, p <0.01. Conclusion Before data collection in this study, a standardized training program was performed for medical care and vascular access monitoring. However, there were no new risk factors were found. This research model can provide a new direction for further research.

Combination of norfloxacin and cisapride in prevention of SBP in high risk patients: A new approach

2001 ◽  
Vol 120 (5) ◽  
pp. A376-A376
Author(s):  
B JEETSANDHU ◽  
R JAIN ◽  
J SINGH ◽  
M JAIN ◽  
J SHARMA ◽  
...  
Keyword(s):  
High Risk ◽  
New Approach ◽  
High Risk Patients ◽  
Risk Patients

1610: High-Risk Patients Undergoing Radical Prostatectomy Today are Less High-Risk than in the Past

2005 ◽  
Vol 173 (4S) ◽  
pp. 436-436
Author(s):  
Christopher J. Kane ◽  
Martha K. Terris ◽  
William J. Aronson ◽  
Joseph C. Presti ◽  
Christopher L. Amling ◽  
...  
Keyword(s):  
High Risk ◽  
Radical Prostatectomy ◽  
High Risk Patients ◽  
The Past ◽  
Risk Patients

995: Immunohistochemical Analysis of Tumor Polyamines Discriminates High Risk Patients Undergoing Nephrectomy for Renal Cell Carcinoma

2004 ◽  
Vol 171 (4S) ◽  
pp. 263-263
Author(s):  
Nathalie Rioux-Leclercq ◽  
Florence Jouan ◽  
Pascale Bellaud ◽  
Jacques-Philippe Moulinoux ◽  
Karim Bensalah ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
High Risk ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Immunohistochemical Analysis ◽  
High Risk Patients ◽  
Risk Patients

Brachytherapy Offers Benefit to Older, High Risk Patients

2012 ◽  
Vol 43 (8) ◽  
pp. 16
Author(s):  
DAMIAN McNAMARA
Keyword(s):  
High Risk ◽  
High Risk Patients ◽  
Risk Patients

CKD Awareness Low in High-Risk Patients

2011 ◽  
Vol 44 (1) ◽  
pp. 45
Author(s):  
DOUG BRUNK
Keyword(s):  
High Risk ◽  
High Risk Patients ◽  
Risk Patients
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