26.Frequency of Access Recirculation in Hemodialysis Dependent Patients
Farman Ullah1, Irfan Mirza2, Mufti Baleegh-ur-Raheem Mahmood1 and
Ahmad Zeb Khan1
ABSTRACT
Objective: The aim of this study was to find out the health of vascular access in our patients focusing on vascular recirculation as a marker of vascular insufficiency.
Study Design: Descriptive cross-sectional study
Place and Duration of Study: This study was conducted at the department of Nephrology Khyber teaching hospital and Khyber medical college Peshawar for a period of six months from 1st January to 1st July 2020.
Materials and Methods: A total of 104 hemodialysis dependent patients of both genders and all ages were randomly selected, utilizing consecutive non-probability sampling technique. Patients on hemodialysis secondary to Acute Kidney Injury were excluded. Prior Approval of synopsis was obtained from the institutional research evaluation and ethical committee. Informed consent was obtained from each patient before data collection.
Results: A total of 104 patients were studied in this study, of which 53 (51.0%) were males. The Mean age of the group was 39.65 years (SD+-13.84). Mean duration of hemodialysis was 18.78 (SD+-12.93) months. Radio-cephalic AV fistula was the commonest access (45.19%) in this cohort, followed by Brachio-cephalic and Brachio-basilic fistulas. Overall, 46 (44.2%) patients were found to have access recirculation in this study which was statistically significant. The factors involved in access recirculation included inappropriate needle placement (n=51, 49%. p=0.001), Venous stenosis (n=5, 4.8%, p=0.015) and different types of AV fistulas.
Conclusion: This study shows that a high percentage of our patients have access recirculation during hemodialysis. Recirculation is significantly associated with inappropriate needle placement and venous stenosis.
Key Words: Dialysis, Hemodialysis, AV fistula, Dialysis catheter, Recirculation
Citation of article: Farman Ullah, Mirza I, Mahmood MB, Khan AZ. Frequency of Access Recirculation in Hemodialysis Dependent Patients. Med Forum 2021;32(10):116-120.