Status of initiating pattern of hemodialysis: a multi-center study.
This study was to evaluate the status of initiating pattern of hemodialysis (HD). Five hundred-three patients in 8 University Hospitals were included. Presentation mode (planned vs. unplanned), and access type (central venous catheters [CVC] vs. permanent access) at initiation of HD were evaluated, and the influence of predialysis care on determining the mode of HD and access type was also assessed. Most patients started unplanned HD (81.9%) and the most common initial access type was CVC (86.3%). The main reason for unplanned HD and high rate of CVC use was patient-related factors such as refusal of permanent access creation and failure to attend scheduled clinic appointments. Predialysis care was performed in 57.9% of patients and only 24.1% of these patients started planned HD and 18.9% used permanent accesses initially. Only a minority of patients initiated planned HD with permanent accesses in spite of predialysis care. To overcome this, efforts to improve the quality of predialysis care are needed.
Yoon
Hye Eun
HE
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Chung
Sungjin
S
Chung
Hyun Wha
HW
Shin
Mi Jung
MJ
Lee
Sang Ju
SJ
Kim
Young Soo
YS
Kim
Hyung Wook
HW
Song
Ho Cheol
HC
Yang
Chul Woo
CW
Jin
Dong Chan
DC
Kim
Yong Soo
YS
Kim
Suk Young
SY
Choi
Euy Jin
EJ
Chang
Yoon Sik
YS
Kim
Young Ok
YO
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001164:Arteriovenous Fistula; D005260:Female; D005919:Glomerular Filtration Rate; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000401:mortality / Q000628:therapy; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009398:Nephrology / Q000379:methods*; D006435:Renal Dialysis / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome