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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Bibliographic Details
Published in:The journal of vascular access 2023-11, Vol.24 (6), p.1322-1331
Main Authors: van Oevelen, Mathijs, Heggen, Boudewijn DC, Abrahams, Alferso C, Rotmans, Joris I, Snoeijs, Maarten GJ, Vernooij, Robin WM, van Buren, Marjolijn, Meijvis, Sabine CA
Format: Article
Language:English
Subjects:
Aged
Catheter-Related Infections - diagnosis
Catheter-Related Infections - epidemiology
Catheter-Related Infections - etiology
Catheterization, Central Venous - adverse effects
Central Venous Catheters - adverse effects
Cohort Studies
Humans
Original s
Renal Dialysis - adverse effects
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Summary: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
ISSN:1129-7298
1724-6032
DOI:10.1177/11297298221085225