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.

IF 1.7 Q3 UROLOGY & NEPHROLOGY International Journal of Nephrology Pub Date : 2023-01-01 DOI:10.1155/2023/6905528
Abdullah Kashgary, Razan A Almuhyawi, Reem R Alhijri, Aseel M Ba Durayq, Wed B Alnagrani, Arwa J Alharbi, Hamidah M Al Khalaf, Haya S Obaid, Ahmed Zaky Fadel, Mostafa Abdelsalam
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Abstract

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.

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吉达阿卜杜勒阿齐兹国王大学医院血液透析中心非介入性肾脏科医师床边取出隧道式血液透析导管的有效性和安全性:一项回顾性队列研究
本研究旨在评估非介入性肾科医师床边取出隧道式血液透析导管(TDC)在成年患者中的有效性和安全性。这是一项回顾性研究,涉及沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学医院(KAUH)血液透析中心2020年3月至2022年2月期间的53名患者。53例患者中男性占60.4%,女性占40.6%,平均年龄50.94±18.89岁。最常见的合并症是高血压(HTN) 47例(88.7%),糖尿病(DM) 24例(45.3%),糖尿病合并HTN 23例(43.4%)。最常见的TDC切除部位为右颈内静脉(77.4%)。在84.9%的病例中,TDC作为住院手术切除,在大多数病例中(64.2%),TDC是由非介入肾病专家切除的。切除TDC最常见的原因是脓毒症或感染的临床问题(64.2%),由于肾功能恢复或通路成熟而不需要TDC(20.8%)。大多数患者(96.2%)无并发症;经非介入性肾科医师取管的34例患者中,仅有1例(%)出现出血,需要在当日出院前进行更多的观察和监测。我们的研究表明,床边TDC切除耐受良好,并发症发生率最低。
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来源期刊
International Journal of Nephrology
International Journal of Nephrology UROLOGY & NEPHROLOGY-
CiteScore
3.40
自引率
4.80%
发文量
44
审稿时长
17 weeks
期刊介绍: International Journal of Nephrology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies focusing on the prevention, diagnosis, and management of kidney diseases and associated disorders. The journal welcomes submissions related to cell biology, developmental biology, genetics, immunology, pathology, pathophysiology of renal disease and progression, clinical nephrology, dialysis, and transplantation.
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