Cross-sectional study of quality of life in relation with vascular access in hemodialysis patients
Introduction: Vascular access for hemodialysis (HD) is essential for the patient. Even though Arteriovenous fistula (AVF) is the preferred access, in certain age groups, the central venous catheter (CVC) may provide advantages. This study aims to investigate the quality of life related to vascular...
| Principais autores: | , , , , , , , , , , |
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| Formato: | Artigo |
| Idioma: | English |
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Asociación Colombiana de Nefrología e Hipertensión Arterial
2023-06-01
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| coleção: | Revista Colombiana de Nefrología |
| Assuntos: | |
| Acesso em linha: | https://revistanefrologia.org/index.php/rcn/article/view/647 |
| _version_ | 1827857614027882496 |
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| author | Maria Maldonado Cristina Fuentes Carlos Santos-Alonso Miguel Angel Navas Laura Álvarez Rafael Sánchez-Villanueva María Pilar Martínez Israel Leblic Marta Ossorio Gloria del Peso María A Bajo |
| author_facet | Maria Maldonado Cristina Fuentes Carlos Santos-Alonso Miguel Angel Navas Laura Álvarez Rafael Sánchez-Villanueva María Pilar Martínez Israel Leblic Marta Ossorio Gloria del Peso María A Bajo |
| author_sort | Maria Maldonado |
| collection | DOAJ |
| description |
Introduction: Vascular access for hemodialysis (HD) is essential for the patient. Even though Arteriovenous fistula (AVF) is the preferred access, in certain age groups, the central venous catheter (CVC) may provide advantages. This study aims to investigate the quality of life related to vascular access.
Methods: Cross-sectional study including patients from a hospital, a home HD unit and a satellite hemodialysis center. Clinical data was collected from the patients, who went through a quality-of-life questionnaire SF12 and a Vascular Access Questionnaire (VAQ).
Results: 91 patients participated, mostly male (70%), with a mean age of 68.9 ± 16.2 years. AVF was the current vascular access in 60.4%, the rest used a CVC. Home HD was performed in 12.1% of patients and 76% started it via CVC. Regarding patients who have had both AVF and CVC, 58% prefer AVF and only 26.5% of current CVC carriers would have a new AVF, mostly due to fear of pain (52%). Most people (72.5%) reported having received sufficient information, with no differences between both accesses.
The SF12 results showed no differences between patients with AVF or CVC. Regarding the VAQ, patients with AVF were more satisfied with the social aspect (p = 0.036) and complications (p = 0.006).
Conclusion: Patients with AVF had better outcomes than those using CVC regarding complications and social aspects. These differences are not attributable to a worse overall quality of life status of CVC patients. Most patients with CVCs refuse to go through a new AVF for fear of puncture pain.
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| first_indexed | 2024-03-12T12:43:05Z |
| format | Article |
| id | doaj.art-255e436010704616b1dd65865ff60c33 |
| institution | Directory Open Access Journal |
| issn | 2500-5006 |
| language | English |
| last_indexed | 2024-03-12T12:43:05Z |
| publishDate | 2023-06-01 |
| publisher | Asociación Colombiana de Nefrología e Hipertensión Arterial |
| record_format | Article |
| series | Revista Colombiana de Nefrología |
| spelling | doaj.art-255e436010704616b1dd65865ff60c332023-08-28T23:41:35ZengAsociación Colombiana de Nefrología e Hipertensión ArterialRevista Colombiana de Nefrología2500-50062023-06-0110210.22265/acnef.10.2.647Cross-sectional study of quality of life in relation with vascular access in hemodialysis patientsMaria Maldonado0Cristina Fuentes 1Carlos Santos-Alonso2Miguel Angel Navas3Laura Álvarez4Rafael Sánchez-Villanueva5María Pilar Martínez6Israel Leblic7Marta Ossorio8Gloria del Peso9María A Bajo10Department of Nephrology, University Hospital La Paz, Madrid, SpainDepartment of Nephrology, University Hospital La Paz, Madrid, SpainDepartment of Nephrology, University Hospital La Paz, Madrid, SpainDepartment of Nephrology, University Hospital La Paz, Madrid, SpainDepartment of Nephrology, University Hospital La Paz, Madrid, SpainDepartment of Nephrology, University Hospital La Paz, Madrid, SpainCare manager of the hemodialysis center "El Pilar"Department of Angiology and Vascular Surgery, Hospital Universitario La Paz, Madrid, SpainResearch Institute La Paz (IdiPAZ), Madrid, SpainDepartment of Nephrology, University Hospital La Paz, Madrid, Spain; Research Institute La Paz (IdiPAZ), Madrid, Spain; Renal Research Network (REDINREN), Health Institute Carlos III, Madrid, Spain; Autónoma de Madrid University, Spain Department of Nephrology, University Hospital La Paz, Madrid, Spain; Research Institute La Paz (IdiPAZ), Madrid, Spain; Renal Research Network (REDINREN), Health Institute Carlos III, Madrid, Spain; Autónoma de Madrid University, Spain Introduction: Vascular access for hemodialysis (HD) is essential for the patient. Even though Arteriovenous fistula (AVF) is the preferred access, in certain age groups, the central venous catheter (CVC) may provide advantages. This study aims to investigate the quality of life related to vascular access. Methods: Cross-sectional study including patients from a hospital, a home HD unit and a satellite hemodialysis center. Clinical data was collected from the patients, who went through a quality-of-life questionnaire SF12 and a Vascular Access Questionnaire (VAQ). Results: 91 patients participated, mostly male (70%), with a mean age of 68.9 ± 16.2 years. AVF was the current vascular access in 60.4%, the rest used a CVC. Home HD was performed in 12.1% of patients and 76% started it via CVC. Regarding patients who have had both AVF and CVC, 58% prefer AVF and only 26.5% of current CVC carriers would have a new AVF, mostly due to fear of pain (52%). Most people (72.5%) reported having received sufficient information, with no differences between both accesses. The SF12 results showed no differences between patients with AVF or CVC. Regarding the VAQ, patients with AVF were more satisfied with the social aspect (p = 0.036) and complications (p = 0.006). Conclusion: Patients with AVF had better outcomes than those using CVC regarding complications and social aspects. These differences are not attributable to a worse overall quality of life status of CVC patients. Most patients with CVCs refuse to go through a new AVF for fear of puncture pain. https://revistanefrologia.org/index.php/rcn/article/view/647Quality of lifearteriovenous fistulacentral venous catheterhaemodialysishome haemodialysisnursing |
| spellingShingle | Maria Maldonado Cristina Fuentes Carlos Santos-Alonso Miguel Angel Navas Laura Álvarez Rafael Sánchez-Villanueva María Pilar Martínez Israel Leblic Marta Ossorio Gloria del Peso María A Bajo Cross-sectional study of quality of life in relation with vascular access in hemodialysis patients Revista Colombiana de Nefrología Quality of life arteriovenous fistula central venous catheter haemodialysis home haemodialysis nursing |
| title | Cross-sectional study of quality of life in relation with vascular access in hemodialysis patients |
| title_full | Cross-sectional study of quality of life in relation with vascular access in hemodialysis patients |
| title_fullStr | Cross-sectional study of quality of life in relation with vascular access in hemodialysis patients |
| title_full_unstemmed | Cross-sectional study of quality of life in relation with vascular access in hemodialysis patients |
| title_short | Cross-sectional study of quality of life in relation with vascular access in hemodialysis patients |
| title_sort | cross sectional study of quality of life in relation with vascular access in hemodialysis patients |
| topic | Quality of life arteriovenous fistula central venous catheter haemodialysis home haemodialysis nursing |
| url | https://revistanefrologia.org/index.php/rcn/article/view/647 |
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