Document Detail

Hemodialysis vascular access: upper extremity graft versus anterior chest wall graft.
MedLine Citation:
PMID:  15686327     Owner:  NLM     Status:  MEDLINE    
The primary goal of this study was to compare two types of grafts used for vascular access in patients on chronic hemodialysis. The population of interest includes patients on chronic hemodialysis who have had both an upper extremity arteriovenous graft and an anterior chest wall arteriovenous graft (n = 23). In addition to comparing the time to first intervention, the primary and secondary patency rates of the two types of grafts were evaluated. Medical record review was used to gather information related to the placement of the vascular access. The correlated t-test was utilized to analyze the data. Although the trend towards longer time to first intervention with the chest wall grafts was demonstrated numerically, significance was not reached statistically. However, analysis of the secondary findings revealed that both the primary and secondary patency rates were longer in the anterior chest wall graft group. The chi square test was used to analyze the patency rates and statistical significance was reached for secondary patency rate at 3 months with chi2 (1) = 10.1, p < .01. The findings of this study are promising in regards to the patency rates of the anterior chest wall grafts. Future research should include an expanded study of both primary and secondary patency rates in the chest wall graft looking at their patency at 6, 12, and 18 months. Because of the aging population on hemodialysis and the higher acuity of these patients, alternate vascular access sites are going to be a priority.
Katherine Healy Houle
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Nephrology nursing journal : journal of the American Nephrology Nurses' Association     Volume:  31     ISSN:  1526-744X     ISO Abbreviation:  Nephrol Nurs J     Publication Date:    2004 Nov-Dec
Date Detail:
Created Date:  2005-02-02     Completed Date:  2005-03-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100909377     Medline TA:  Nephrol Nurs J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  642-8, 675     Citation Subset:  N    
Marquette General Hospital, Marquette, MI, USA.
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MeSH Terms
Arteriovenous Shunt, Surgical / methods*
Blood Vessel Prosthesis*
Middle Aged
Renal Dialysis*
Retrospective Studies
Thoracic Wall*
Upper Extremity*
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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