Compared to tunnelled cuffed haemodialysis catheters, temporary untunnelled catheters are associated with more complications already within 2 weeks of use

Background. Comparison of outcome of untunnelled catheters (UCs) and tunnelled cuffed catheters (TCCs) is difficult because they are usually used for different patients and conditions. The aim of the present study is to compare the outcome of TCCs with UCs limiting as much as possible the influence...

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Bibliographic Details
Published in:Nephrology, dialysis, transplantation dialysis, transplantation, 2004-03, Vol.19 (3), p.670-677
Main Authors: Weijmer, Marcel C., Vervloet, Marc G., ter Wee, Piet M.
Format: Article
Language:English
Subjects:
Acute Kidney Injury - therapy
Adult
Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Bacteremia - etiology
Biological and medical sciences
Blood. Blood coagulation. Reticuloendothelial system
catheter
Catheters, Indwelling - adverse effects
Device Removal
Emergency and intensive care: renal failure. Dialysis management
Equipment Design
Equipment Failure
Female
Follow-Up Studies
haemodialysis
Hospitalization
Humans
Intensive care medicine
Kidney Failure, Chronic - therapy
Male
Medical sciences
Middle Aged
patency
Pharmacology. Drug treatments
Prospective Studies
Renal Dialysis - instrumentation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Surgical Wound Infection - etiology
Time Factors
tunnelled cuffed
uncuffed
vascular access
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Summary:Background. Comparison of outcome of untunnelled catheters (UCs) and tunnelled cuffed catheters (TCCs) is difficult because they are usually used for different patients and conditions. The aim of the present study is to compare the outcome of TCCs with UCs limiting as much as possible the influence of confounding factors. The second purpose was to see whether our results support the time recommendations for maximum use of UCs outlined in the NKF-DOQI guidelines. Methods. Catheter and patient characteristics, catheter-related complications and all cultures taken from haemodialysis catheters inserted during a 3 year period were collected. Results. We analysed the outcome of 272 catheters (149 patients, 11 612 catheter-days, 37 TCC and 235 UC). Patients with an UC suffered more often from acute renal failure (40 vs 8% for TCCs, P
ISSN:0931-0509
1460-2385
DOI:10.1093/ndt/gfg581