Inverse effects of anemia and diabetes mellitus on non-cuffed central venous catheters longevity

Abstract

Patients with End Stage Renal Disease (ESRD) not undergoing transplant require hemodialysis (HD) through a vascular access (VA). It is important to detect risk factors that cause morbidity (thrombosis and infection) of VA. Central Venous Catheters (CVC) are type of VA which has higher cost of care, compared to other methods. In this research, 296 HD patients aged 17 to 88 years were studied by data mining. All catheters inserted in a period of 410 days (from February 2011 to March 2012) and 167 (56%) were male and 129 (44%) were female. Risk factors were assessed extracting reasons of morbidity in non-cuffed catheters. Even though low hemoglobin (Hgb) causes thrombosis in Femoral Vein Catheterization (FVC), but more durability of non-cuffed CVC was observed in patients with low Hgb, which means an inverse effect of Hgb. Diabetes mellitus (DM) and hypertension reduce durability of jugular vein access. Long duration of DM increases durability of non-cuffed CVC. Left jugular has more morbidity than right jugular. Femoral vein (FV) causes low durability and so maximal risk rates. Thrombosis is a major complication of Femoral Vein Catheterization. When this event has been occurred, we will remove thrombosed catheter so that durability of it would be less not more. Catheterization using “femoral” causes low durability and so maximal risk rates. Moreover, although diabetes mellitus (DM) and hypertension are major risk factors for internal jugular vein (IJV) catheterization, but there is an inverse effect of duration of hemoglobin (Hgb) and DM on non-cuffed CVC.