MO794: Central Venous Catheter-Related Complications in Older Haemodialysis Patients: A Multicentre Observational Cohort Study

Abstract BACKGROUND AND AIMS Central venous catheters (CVC) remain a commonly used vascular access option in haemodialysis, despite guidelines advising to preferably use arteriovenous fistulae. Compared to younger patients, the risk-benefit ratio of CVC in older patients might be more beneficial, bu...

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Veröffentlicht in:Nephrology, dialysis, transplantation dialysis, transplantation, 2022-05, Vol.37 (Supplement_3)
Hauptverfasser: Van Oevelen, Mathijs, Heggen, Boudewijn, Abrahams, Alferso C, Rotmans, Joris, Snoeijs, Maarten, Vernooij, Robin, van Buren, Marjolijn, Meijvis, Sabine
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Sprache:eng
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Zusammenfassung:Abstract BACKGROUND AND AIMS Central venous catheters (CVC) remain a commonly used vascular access option in haemodialysis, despite guidelines advising to preferably use arteriovenous fistulae. Compared to younger patients, the risk-benefit ratio of CVC in older patients might be more beneficial, but previous studies mainly focussed on catheter-related bacteraemia and/or assessed tunnelled CVC (TCVC) only. This study's aim was to compare all catheter-related infections and malfunctions in older patients with younger patients using all CVC subtypes. METHOD We used data from DUCATHO, a multicentre observational cohort study in the Netherlands. All adult patients in whom a CVC was placed for haemodialysis between 2012–2016 were included. The primary endpoint was the occurrence of catheter-related infections, comparing patients aged ≥ 70 years with patients aged 
ISSN:0931-0509
1460-2385
DOI:10.1093/ndt/gfac080.031