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- Title
FISTULA FIRST INITIATIVE; INCIDENCE AND BARRIERS IN FOLLOWING THE PROTOCOL FOR AV FISTULA FOR DIALYSIS.
- Authors
Fatima, Tanveer; Ashraf, Sania; Afzal, Aurangzeb
- Abstract
Background: Although AV fistula is considered as a gold standard for initiating hemodialysis in patients with ESRD, the incidence is quite low in our population. Aim: The aim of this study is to find out the incidence of permanent AV access i.e. AV fistula at the time of first dialysis and causes leading to failure of this protocol. Study Design: Cross-sectional study. Setting: Hemodialysis unit of Lahore General Hospital. Period: August-September, 2017. Method: Patients undergoing hemodialysis in dialysis center of Lahore General Hospital. Results: Out of 82 patients recruited, only 4 patients were found to have their first hemodialysis with AV fistula, remaining 78 patients had temporary double lumen catheter for emergency hemodialysis who were later on counselled to have AV fistula. Reasons include lack of counselling/awareness/education of disease in patients 71.79%, emergency HD in patients with hypertensive emergencies 14.1%, and delay in maturation (7.6%) and failure (6.4%) of AV fistula. Conclusion: To increase the incidence of fistula first initiative integration of different professional teams are required as well as education and awareness should be instilled in patients to help them in taking decisions.
- Subjects
FISTULA; HEMODIALYSIS patients; HEMODIALYSIS
- Publication
Professional Medical Journal, 2018, Vol 25, Issue 11, p1672
- ISSN
1024-8919
- Publication type
Article
- DOI
10.29309/TPMJ/18.4423