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首页> 外文期刊>Revista de la Sociedad Espanola de Enfermeria Nefrologica >Analysis of complication of permanent catheters for haemodialysis in a health area: economic repercussions.
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Analysis of complication of permanent catheters for haemodialysis in a health area: economic repercussions.

机译：卫生领域中用于血液透析的永久性导管并发症的分析：经济影响。

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VELAYOS GONZALEZ, María Pilar et al. Analysis of complication of permanent catheters for haemodialysis in a health area: economic repercussions. Rev Soc Esp Enferm Nefrol [online]. 2008, vol.11, n.1, pp.25-30. ISSN 1139-1375.In recent years the number of patients with a permanent catheter for haemodialysis has increased. Aims: To compile data on the complications associated to catheters, estimating the overall cost. To compare catheter connection and disconnection costs with the cost of a fistula. Material and methods: A 24-month prospective descriptive study in 116 CT for HD in 97 patients: 68.05% men, average age 66.56 years and 23.3% diabetic. Results: A total of 41 catheters continue to work, 75 were removed because of: malfunction (11), use of fistula (37), transfer to peritoneal dialysis (9), infection (6) and others (12). On 59 occasions urokinase was used for low flow, 45 cases were solved and 14 were reviewed in vascular radiology, with 6 having to be replaced. We recorded 8 systemic infections, 7 of the catheter wound and 3 of the tunnel. The average aggregate survival of the catheters was 611.70±36.76 days. Survival was lower in renal insufficiency of vascular origin 293.17±46.9. The total expense of the catheters was 203,354.07€. The cost month/catheter was 563.26€. The cost per session without complications was 15.66€ in catheters and 6.376€ in fistulas. Conclusions: 1. Our results in survival and complications improve on those indicated in clinical guidelines. 2. The use and maintenance of catheters generates a significant expense and their use involves double the expense of a fistula.
机译：VELAYOS GONZALEZ，玛丽亚·皮拉尔（MaríaPilar）等。卫生领域中用于血液透析的永久性导管并发症的分析：经济影响。 Rev Soc Esp Enferm Nefrol [在线]。 2008年，第11卷，第1期，第25-30页。 ISSN 1139-1375。近年来，使用永久性血液透析导管的患者数量有所增加。目的：收集有关导管并发症的数据，以估算总体成本。将导管连接和断开的费用与瘘管的费用进行比较。资料和方法：针对97例患者的116例CT进行了为期24个月的前瞻性描述性研究，男性为68.05％，平均年龄为66.56岁，糖尿病为23.3％。结果：总共41根导管继续工作，有75根因以下原因而被拔出：故障（11），使用瘘管（37），转移至腹膜透析（9），感染（6）和其他（12）。尿激酶低流量使用59次，解决了45例，在血管放射学中检查了14例，其中6例需要更换。我们记录了8例全身感染，7例导管伤口和3例隧道感染。导管的平均总存活时间为611.70±36.76天。血管源性肾功能不全的存活率较低293.17±46.9。导管的总费用为203,354.07€。每月的费用为563.26欧元。无并发症的每次治疗费用为：导管为15.66€，瘘管为6.376€。结论：1.我们在生存和并发症方面的结果在临床指南中有所改善。 2.导管的使用和维护产生大量费用，并且其使用涉及瘘管费用的两倍。

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