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Comparison of Dialysis Adequacy in Permanent Vascular Access Methods
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Pariya Zamani   , Hiwa Mohammadi * , Hossein Feyzi |
| Department of Nursing, Boroujerd School of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran , hiva.nursing@gmail.com |
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Abstract: (2086 Views) |
Background and Aim: A well-functioning vascular access is a mainstay and vital to perform an efficient hemodialysis in hemodialysis patients. Vascular access includes Arterio-Venous Fistula (AVF) and temporary or permanent central venous catheter. Dialysis adequacy is an essential element in the management of chronic Hemodialysis (HD) treatment as the adequacy of the dose has a profound effect on the patient's morbidity and mortality. Various factors affect the adequacy of dialysis including vascular access. The aim of present study was to investigate the relationship between vascular access type and dialysis adequacy in HM patients.
Methods: All patients undergoing HM referring to the dialysis ward of Tohid Hospital in Sanandaj city were selected by census method. Patients were divided into two groups according to vascular access type (AVF or permanent CVC). The Kt/V was used as the gold standard for measuring the adequacy of dialysis. Laboratory parameters including hemoglobin, phosphorus, albumin and parathyroid hormone were recorded. Finally, socio-demographic information and treatment characteristics were collected.
Results: The patients were divided into two groups: arterial-venous fistula (n=74) and permanent catheter (n=69). The mean KT/V in patients was 1.32±0.28. There was no significant difference in dialysis adequacy between the two groups. Also, the laboratory parameters in the two groups were not significantly different.
Conclusion: Findings revealed that dialysis adequacy in patients with permanent vascular access (arteriovenous fistula or permanent central venous catheter ) is highly efficient. Therefore, these methods can be used in their indications. In terms of improving laboratory tests, further studies are needed to clarify this issue. |
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| Keywords: Vascular Access, Dialysis Adequacy, Hemodialysis |
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Full-Text [PDF 611 kb]
(677 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2020/08/2 | Accepted: 2020/09/14 | Published: 2021/01/6
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