A program that provided specific processes to support the initiation of PD in urgent and unplanned situations reduced both central venous catheter use through hemodialysis and length of hospital stay, according to a published study.
“In most instances, unplanned start of dialysis is often accomplished by hemodialysis (HD) using a central venous catheter (CVC) that exposes the patients to the risks of infection and other catheter-related complications,” Ferruh Artunc, MD, of the University Hospital of Tübingen in Germany, and colleagues wrote. “A study investigating the influence of dialysis timing and access in incident HD patients found that unplanned dialysis start was associated with increased mortality and that patients with unplanned start using a CVC had the highest mortality ... ”
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