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Fatal Dialysis Vascular Access Hemorrhage

Citation

Jose, MD and Marshall, MR and Read, G and Lioufas, N and Ling, J and Snelling, P and Polkinghorne, KR, Fatal Dialysis Vascular Access Hemorrhage, American Journal of Kidney Diseases, 70, (4) pp. 570-575. ISSN 0272-6386 (2017) [Refereed Article]


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Copyright 2017 The Authors. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) https://creativecommons.org/licenses/by-nc-nd/4.0/

DOI: doi:10.1053/j.ajkd.2017.05.014

Abstract

Bleeding from dialysis vascular access (arteriovenous fistulas, arteriovenous grafts, and vascular catheters) is uncommon. Death from these bleeds is rare and likely to be under-reported, with incident rates of fewer than 1 episode for every 1,000 patient-years on dialysis, meaning that dialysis units may experience this catastrophic event only once a decade. There is an opportunity to learn from (and therefore prevent) these bleeding deaths. We reviewed all reported episodes of death due to vascular access bleeding in Australia and New Zealand over a 14-year period together with individual dialysis units' root cause analyses on each event. In this perspective, we provide a clinically useful summary of the evidence and knowledge gained from these rare events. Our conclusion is that death due to dialysis vascular access hemorrhage is an uncommon, catastrophic, but potentially preventable event if the right policies and procedures are put in place.

Item Details

Item Type:Refereed Article
Keywords:dialysis, mortality, fistula, vascular access
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Nephrology and Urology
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Urogenital System and Disorders
Author:Jose, MD (Professor Matthew Jose)
ID Code:121666
Year Published:2017
Deposited By:Medicine (Discipline)
Deposited On:2017-10-10
Last Modified:2017-11-13
Downloads:9 View Download Statistics

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