Abstract
BackgroundThe analysis of hemodialysis services is relevant for the quality of life of patient. In this study we investigated the profile of vascular access used for hemodialysis patients in our Unit.MethodsWe evaluated 219 patients of both genders aged over 18 years old who have undergone implant or manufacture of vascular hemodialysis access. We excluded patients on renal replacement therapy by peritoneal dialysis.ResultsAssociated diseases were hypertension and diabetes mellitus. 161 had arteriovenous fistula, with 153 held by the same dialysis and nine of them were still maturing. 27 patients on dialysis used central venous catheter. 148 were indigenous and five were made using polytetrafluoroethylene prosthesis (PTFE). Among the 27 patients with central venous catheters, ten used short-term catheter and 17 used long-term catheter. The most frequent type of fistula use was on the radio distal cephalic, in 85 patients (52.5%), followed by radio cephalic proximal in 26 patients (16%). The number of fistulas in dialysis patients conducted by this kind of therapy ranged from one to ten and in 64 patients (41.83%) fistula was the first and only to be made. Among the fistula for dialysis patients, the highest prevalence was radio cephalic fistula in 111 patients (72.5%) and mean duration of use was 48.1 months, ranging from two months to 17 years.ConclusionOur Unit of hemodialysis is above the limits established by international norms.
Highlights
The analysis of hemodialysis services is relevant for the quality of life of patient
The need for a vascular access is as old as hemodialysis and its adequate functioning is essential for effective maintenance dialysis [1,2,3,4,5]
The most frequent type of fistula use was on the radio distal cephalic, in 85 patients (52.5%), followed by radio cephalic proximal in 26 patients (16%) (Table 3)
Summary
We investigated a total of 180 patients, 99 (55%) from Padre Anchieta Hospital and 81 (45%) from the Mário Covas Hospital. 27 patients on dialysis used central venous catheter (Table 2). Patients on dialysis for long-term catheter and without maturing fistula (12 patients) had a mean time of 5.46 months of use and had already exhausted their chances of making fistulas. Among the fistula for dialysis patients, the highest prevalence was radio cephalic fistula in 111 patients (72.5%) and mean duration of use was 48.1 months, ranging from two months to 17 years. These patients had an average of 0.89 prior fistulas, and in 46 patients (30%) it was the only fistula.
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