Central venous catheter-related complications in older haemodialysis patients: a multicentre observational cohort study

Background: 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 studie...

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Veröffentlicht in:The Journal of Vascular Access 2022-03, Vol.24 (6), p.1322-1331
Hauptverfasser: Oevelen, M. van, Heggen, B.D.C., Abrahams, A.C., Rotmans, J., Snoeijs, M.G.J., Vernooij, R.W.M., Buren, M. van, Meijvis, S.C.A.
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Sprache:eng
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Zusammenfassung:Background: 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. Materials and methods: 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 and 2016 were included. The primary endpoint was the occurrence of catheter-related infections, comparing patients aged > 70 years with patients aged 70 to
DOI:10.1177/11297298221085225