Navigation Links
Higher Death Rates Seen in Central Line Dialysis Patients: Study

By Randy Dotinga
HealthDay Reporter

THURSDAY, April 21 (HealthDay News) -- Doctors should avoid delivering hemodialysis to kidney failure patients through a central line catheter because that method is associated with a higher risk of death shortly after beginning dialysis, a new study contends.

Researchers examined the medical records of more than 38,500 Canadian patients who began dialysis from 2001-08.

Patients who received hemodialysis through a central line catheter into a large vein had an 80 percent higher risk of death in the first year after starting dialysis than patients who received:

  • Peritoneal dialysis (through a tube into the abdomen).
  • Dialysis through an arteriovenous fistula (in which a surgeon connects an artery directly to a vein).
  • Dialysis through an arteriovenous graft (in which a surgeon connects an artery to a vein with a synthetic tube, or graft, implanted under the skin in one arm).

Both the surgically created fistula and graft access sites are at less risk of infection than a central line, with a fistula least likely to become infected, the study authors said.

Among central line patients, the risk of death was 20 percent higher five years after dialysis began than in the others.

"Our results emphasize the importance of predialysis care and education, and the need to avoid central venous catheter use in our [hemodialysis] patients," Dr. Jeffrey Perl, of St. Michael's Hospital in Toronto, said in an American Society of Nephrology news release.

The researchers cautioned that the study was observational, not a randomized controlled trial, and that there was no information on the reasons why patients started dialysis with a central catheter vs. the other methods.

The study appeared in the Journal of the American Society of Nephrology.

In the study, about 63 percent of the patients received hemodialysis using a central line catheter, 17 percent began the treatment with an arteriovenous fistula or graft, and 19 percent performed peritoneal dialysis on themselves at home.

Those who got treatment through an arteriovenous fistula or graft when starting hemodialysis survived at about the same rate as those on dialysis through a tube in the abdomen.

Prior research has also suggested that peritoneal patients have a lower risk of death, Perl said.

More information

Learn more about dialysis from the U.S. National Library of Medicine.

-- Randy Dotinga

SOURCE: American Society of Nephrology, news release, April 21, 2011

Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Despite Treatment, Employees with Depression Generate Higher Absentee Costs, According to Thomson Reuters Study
2. Minorities Not Treated at Higher-Quality Centers
3. Black Women at Higher Risk of Birth-Related Heart Problem
4. Risk of Childhood Obesity Higher Among Minorities
5. Death After Discharge Rates Higher in Elderly ICU Patients
6. Anti-depressants bring higher risk of developing cataracts: UBC-Vancouver Coastal Health research
7. K-State Study Finds Abundance of Food Stores, Not Lack of Them, Puts Low-Income Women In Small Cities at Higher Risk of Obesity
8. Do Liberals, Atheists Have Higher IQs?
9. Study: Low Levels of Vitamin D Linked to Higher Rates of Asthma in African American Kids
10. More Money, Increased Participation and Higher Nutritional Standards for School Meals
11. Hearts and Minds Promotes Wellness; African Americans Living with Mental Illness Have Higher Risk for Other Illnesses.
Post Your Comments:
(Date:10/13/2015)... , ... October 13, 2015 , ... ... a unique private messaging application, announced today a significant contract that will provide ... years. Independence plans to build on the growing success of its Relay program, ...
(Date:10/13/2015)... ... 2015 , ... A child without a healthy mouth is much more likely ... invisible aligner system, has joined with Global Dental Relief (GDR) to help ... treatment plan purchased, SmileCareClub will donate one clinic visit to a child in Kenya. ...
(Date:10/13/2015)... ... October 13, 2015 , ... ... kind product that targets the unique health needs of new moms. Postnatal ... Pregnancy Association ( ), utilizes Nordic Naturals’ exclusive, new, ultra-concentrated omega-3 ...
(Date:10/13/2015)... ... , ... Tempe Dental Care, a leading Tempe dentists’ office, celebrates offering gentle, ... for more than 5 years. A leading cause of emergency room visits, school ... is not timely. , Sedation dentistry provides an anxiety-free dental experience ...
(Date:10/13/2015)... (PRWEB) , ... October 13, 2015 , ... According to ... Rose suffered an orbital fracture when a teammate accidentally elbowed him in the left ... Rose's recent eye injury is just one of a series of setbacks, including a ...
Breaking Medicine News(10 mins):
(Date:10/13/2015)... 2015 Attracting mid- to large-sized medical device companies ... Baltimore into a major medical device ... Maryland Technology Enterprise Institute (Mtech) . ... place to support innovation hubs and a thriving medical device ... "This study is important because we believe Baltimore ...
(Date:10/13/2015)... Fla. , Oct. 13, 2015   Vigilant ... of solutions that aid in the early detection and ... has awarded Vigilant,s founder and CEO, Matthew H.J. ... Year Award, which recognizes an entrepreneur who has made ... life sciences industry in the leadership of ...
(Date:10/13/2015)... DURHAM, N.C. , Oct. 13, 2015   ... from the DESSOLVE I and II trials of its ... MiStent SES ® ) were presented at the ... held in San Francisco , October ... in interventional cardiovascular medicine. MiStent SES was designed to ...
Breaking Medicine Technology: