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KMID : 0191120090240000102
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Journal of Korean Medical Science
2009 Volume.24 No. 0 p.102 ~ p.108
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Status of Initiating Pattern of Hemodialysis: A Multi-center Study
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Yoon Hye-Eun
Chung Sung-Jin
Chung Hyun-Wha
Shin Mi-Jung
Lee Sang-Ju
Kim Young-Soo
Kim Hyung-Wook
Song Ho-Cheol
Yang Chul-Woo
Kim Suk-Young
Choi Euy-Jin
Chang Yoon-Sik
Kim Young-Ok
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Abstract
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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.
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KEYWORD
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Renal Dialysis, Arteriovenous Fistula, Catheterization, Referral and Consultation
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